Buckie Dewight Parsons, D.D.S.
Individual provider Active NPI Dentist · Livingston, TN
NPI 1093705113 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093705113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS2612 (TN)
- Practice address
- 215 Oak St
Livingston, TN 38570-1726 - Phone
- (931) 823-5517
- Fax
- (931) 823-3852
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| DS2612 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Cumberland Family Dentistry, PC | Past | Accepting new patients | |
| Upper Cumberland Family Dentistry | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS2612 | TN | Yes |
Addresses
Primary practice location
215 Oak St
Livingston, TN 38570-1726
Mailing address
215 Oak St
Livingston, TN 38570-1726
Phone (931) 823-5517
Other providers in Livingston, TN
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.