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BUCKEYE DENTAL AND DENTURE INC. NPI 1972717734


NPI Information

NPI: 1972717734
Provider Name: BUCKEYE DENTAL AND DENTURE, INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2198 HEWITT AVE
KETTERING, OH
ZIP 45440
Phone: (937) 439-0834
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BUCKEYE DENTAL AND DENTURE, INC. is a general practice dentist in Kettering, OH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BUCKEYE DENTAL AND DENTURE, INC. NPI is 1972717734. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2198 HEWITT AVE
KETTERING, OH
ZIP 45440-242
Phone: (937) 439-0834
Fax: (937) 439-0880

The provider's authorized official is Keith Busch .
The authorized official title is Owner and has the following contact phone number (937) 439-0834.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 10/31/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice16235OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10409687MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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