Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mauricio Marcushamer, DDS

Individual provider Pediatric Dentistry · NPI 1699842690

Dr. Mauricio Marcushamer, DDS is a Pediatric Dentistry in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3006 Broadway Ste 103
San Antonio, TX 78209-1561
Phone: (210) 225-8888
Fax: (210) 225-4195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 18580 (TX)

Record details

NPI number1699842690
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 29, 2006
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024
Mailing address3006 Broadway Ste 103, San Antonio, TX 78209-1561

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