Eric P Buck DDS German Village LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ERIC P BUCK DDS GERMAN VILLAGE LLC

Practice address

601 S 3Rd St
Columbus, OH 43206-1025

Phone

(614) 288-4850

NPI assigned

Aug 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Eric Paul Buck, DDS

Title

Owner

Phone

(614) 378-3742

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1295345841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S 3RD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432061025",
            "telephone_number": "614-288-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S 3RD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432061025",
            "telephone_number": "614-288-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC P BUCK DDS GERMAN VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-378-3742",
        "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": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "thirdstreetdentalcare.com",
            "affiliation": "N",
            "address_1": "601 S 3rd St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432061025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Eric M. Glenn
• Erica Kittleson Counseling LLC
• Shari Lynn Erickson-Young, LCSW
• Ericka Lee Erickson, MD, MBA
• Kathryn Grace Eriksen, PA-C
• Erin H. Zipfel, LLC

• Dental Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.