ERIC P BUCK DDS INC (NPI# 1407371628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407371628 |
| Entity Type | Organization |
| Organization Name | ERIC P BUCK DDS INC |
| Other Organization Name | DISTINCTIVE SMILES OF DUBLIN |
| Practice Address |
5142 Blazer Pkwy Dublin OH 43017-1339 |
| Practice Telephone | 6147921800 |
| Practice Fax Number | 6147922687 |
| Mailing Telephone | 6147921800 |
| Mailing Fax Number | 6147922687 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | ERIC PAUL BUCK (DENTIST/OWNER) |
| Authorized Official Telephone | 6147921800 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | ERIC P BUCK DDS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
30021908 | OH | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Distinctive Smiles of Dublin | Doing Business As Name - Organization |
| Street Address |
5142 BLAZER PKWY |
| City | DUBLIN |
| State | OH |
| Zip Code | 43017-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780735910 | Randal Parker Garvey | Dentist | 5142 Blazer Pkwy, Dublin, OH 43017-1339 | 2007-01-15 |
| 1619186624 | Eric Paul Buck | Dentist | 5142 Blazer Pkwy, Dublin, OH 43017 | 2007-05-22 |
| 1184745622 | William P Davis | Dentist | 5142 Blazer Pkwy, Dublin, OH 43017-1339 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770048894 | Teresa O'connell | Dermatology | Timeless Skin Solutions, 31 South High St, Dublin, OH 43017 | 2019-02-02 |
| 1356814560 | Trishaya Spain-austin | Behavior Technician | 545 Metro Place North, Suite 100, Dublin, OH 43017 | 2019-01-10 |
| 1669955902 | Tamara Moss | Occupational Therapist | 10516 Sawmill Road, Suite B, Dublin, OH 43017 | 2018-09-12 |
| 1548753692 | Complex Wound Consultant L.L.C. | Surgery | 5712 Southby Ct, Dublin, OH 43017 | 2018-06-13 |
| 1063916948 | Enabling Recovery LLC | Community/Behavioral Health | 5945 Sawmill Rd Ste B, Dublin, OH 43017 | 2018-03-23 |
| 1750898839 | Inner Health Chiropractic, Inc | Chiropractor | 220 West Bridge, Inner Health Chiropractic, Dublin, OH 43017 | 2018-01-10 |
| 1598274144 | Catherine Ann Albrecht | Case Manager/Care Coordinator | 525 Metro Place N., Dublin, OH 43017 | 2017-09-27 |
| 1346769338 | Rachel Mary Baldwin | Speech-Language Pathologist | 9892 Macdonald Dr., Dublin, OH 43017 | 2017-09-12 |
| 1629596275 | Julie Battaglia | Counselor | 525 Metro Place, Suite 100, Dublin, OH 43017 | 2017-09-05 |
| 1205365541 | Tracey Lechner | Speech-Language Pathologist | 7424 Coventry Woods Drive, Dublin, OH 43017 | 2017-06-09 |
| Find all providers in zip 43017 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
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| 1861643488 | Nv Orthodontics | Clinic/Center | 6799 Dublin Blvd, Dublin, CA 94568-3013 | 2008-10-01 |
| 1124299110 | Harvey Dentistry Nrv, PC | Clinic/Center | 4664 Lee Hwy, Dublin, VA 24084 | 2008-03-18 |
| 1518042969 | Dublin Dental Center, P.C. | Clinic/Center | 179 North Main Street, Suite 101, Dublin, PA 18917-0294 | 2006-10-26 |
| 1376157263 | M Alexandrunas D Hudoba Dental 1 Inc | Clinic/Center | 365 W Bridge St, Dublin, OH 43017-2124 | 2020-09-08 |
| 1063924041 | Sanjeev Sharma Dds Inc | Clinic/Center | 4920 Dublin Blvd, Dublin, CA 94568-3169 | 2017-10-30 |
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| 1093329914 | Travis Clark Dds LLC | Clinic/Center | 1248 Columbus Ave Ste 8, Lebanon, OH 45036-9005 | 2020-09-08 |
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| 1245858083 | Jacko & Siefker Dds, LLC | Clinic/Center | 210 Heritage Dr, Wellington, OH 44090-8949 | 2020-07-08 |
| 1417572595 | Southern Ohio Mini Dental Implant Center | Clinic/Center | 41 E South St, Jackson, OH 45640-1638 | 2020-06-15 |
| 1508499567 | Westlake Endodontics LLC | Clinic/Center | 30400 Detroit Rd Ste 209, Westlake, OH 44145-1855 | 2020-02-18 |
| 1629617980 | Randall Niederkohr,d.d.s,inc. | Clinic/Center | 27 St Lawrence Dr Ste 109, Tiffin, OH 44883-8314 | 2020-01-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.