Andrew Martin Buckley, DMD
Individual provider Active NPI Dentist · Charlotte Amalie, VI
NPI 1154532497 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154532497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 845 (VI)
- Practice address
- 3004 Estate Altona Ste 21
Charlotte Amalie, VI 00802-5735 - Phone
- (340) 774-7220
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 845 | VI | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 845 | VI | Yes |
Addresses
Primary practice location
3004 Estate Altona Ste 21
Charlotte Amalie, VI 00802-5735
Mailing address
3004 Estate Altona Ste 21
Charlotte Amalie, VI 00802-5735
Phone (340) 774-7220
Other providers in Charlotte Amalie, VI
- Able Investments, LLC
- Ann Gruver Barnard
- Normajean Harbur Basile
- Kadian Bennett
- Coral N Breuning
- Central Ambulance Services Inc.
- Kelly Edens
- Randall Emert
- Janet Nicole Horgan
- Dawn Huggins
All providers in Charlotte Amalie, VI · Dentist in U.S. Virgin Islands
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.