Bill L. Bucy, D.D.S.

Individual provider Active NPI General Practice Dentistry · Auburn, NE

NPI 1043429400 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1043429400
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
4520 (NE)
Practice address
2115 14TH St
Auburn, NE 68305-1760
Phone
(402) 274-3709
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4520NEMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4520 NE Yes

Addresses

Primary practice location

2115 14TH St
Auburn, NE 68305-1760

Mailing address

2115 14TH St
Auburn, NE 68305-1760
Phone (402) 274-3709

Other identifiers

IdentifierTypeStateIssuer
83034611500MedicaidNE
7801OtherNEBCBS IDENTIFIER

Other names

  • Dr. Willia L Bucy Other name

Other providers in Auburn, NE

All providers in Auburn, NE · General Practice Dentistry in Nebraska

Sources for this page

Verify at the official NPI Registry.