Buecker & Long PSC
Organization Active NPI Dentist · Shellbyville, KY
NPI 1124137823 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124137823
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- BUECKER & LONG PSC
- Practice address
- 1100 Washington Street
Shellbyville, KY 40065-1462 - Phone
- (502) 633-1915
- Fax
- (502) 633-1098
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Gerard Louis Buecker, DMD
- Title
- Officer
- Phone
- (502) 633-1915
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
1100 Washington Street
Shellbyville, KY 40065-1462
Mailing address
1100 Washington Street
Shellbyville, KY 40065-1462
Phone (502) 633-1915
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.