Elisha W Buckley DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELISHA W BUCKLEY DDS PC

Practice address

540 E Crossville Rd Ste 200
Roswell, GA 30075-7661

Phone

(678) 524-7364

NPI assigned

Oct 4, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Elisha Buckley, DDSNPI 1811125651

Title

Owner

Phone

(678) 524-7364

Specialties & licenses 1

Addresses

Other names 1

• Buckley Dental Care Doing business as

Locations

Practitioners 1

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

• Elisha W. Buckley, D.D.S.

  • General Practice Dentistry
  • Roswell, GA
  • NPI 1811125651
  NPD Authorized official

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1104598457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 WIGLEY RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300661503",
            "telephone_number": "678-524-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E CROSSVILLE RD STE 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757661",
            "telephone_number": "678-524-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISHA W BUCKLEY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-524-7364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckley Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rina Eisenstein, MD
• Leslie Brandon Elder, M.ED, CCC-SLP
• Bernardine Elechi, PHARMD, RPH
• Elera Health Georgia, LLC.
• Elevate Family Chiropractic, LLC
• Elite Care Internal Medicine PC
• Anna Elkins, DC
• Tony Elliott
• Karl L Ellis Jr., D.C.
• Marc Allen Ellis, D.C.

• Dental Clinic/Center in Roswell, GA
• Providers in Roswell, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.