Eric P Buck DDS Lewis Center LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ERIC P BUCK DDS LEWIS CENTER LLC

Practice address

9391 S. Old State Rd
Lewis Center, OH 43035

Phone

(614) 888-3692

Fax

(614) 436-7898

NPI assigned

Jan 11, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Elizabeth Streets

Title

Insurance Accounts Cordinator

Phone

(614) 888-3692

Specialties & licenses 1

Addresses

Other names 1

• The Dental Group@Polaris Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alfred Thomas Bachman, DDS

  • Dentist
  • Lewis Center, OH
  • NPI 1336267319
  NPD (past)
• Kevin Edward Young, DDS

  • Dentist
  • Lewis Center, OH
  • NPI 1174640155
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1073227385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9391 S. OLD STATE RD",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "43035",
            "telephone_number": "614-888-3692",
            "fax_number": "614-436-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9391 S. OLD STATE RD",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "43035",
            "telephone_number": "614-888-3692",
            "fax_number": "614-436-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC P BUCK DDS LEWIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "STREETS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "INSURANCE ACCOUNTS CORDINATOR",
        "authorized_official_telephone_number": "614-888-3692"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Group@Polaris",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Regan Marie Elger, OTR/L
• Elite Healthcare Services, LLC
• Jennifer Theresa Elliott
• John Abel Ellwood, D.C.
• Empower Physio and Wellness, LLC
• Essential Essence Home Care LLC
• Evans Farm Family Eye Care, LLC
• Bethany Lynn Everson, PT
• Eyeshop Optical Center LLC
• Tracy Faiella, OTR/L

• General Practice Dentistry in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.