Guy Richard Buhrow, DDS
Individual provider Active NPI Dentist · Osage, IA
NPI 1063528487 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1063528487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 5756 (IA)
- Practice address
- 816 N 8TH Street
Osage, IA 50461-1408 - Phone
- (641) 732-4465
- Fax
- (641) 732-4465
- NPI assigned
- Aug 21, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5756 | IA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5756 | IA | Yes |
Addresses
Primary practice location
816 N 8TH Street
Osage, IA 50461-1408
Mailing address
816 N 8TH Street
Osage, IA 50461-1408
Phone (641) 732-4465
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07117 | Other | IA | BCBS |
| 0071175 | Medicaid | IA | |
| 071175 | Other | IA | DELTA DENTAL |
Other providers in Osage, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.