Brandy Renee Buckner, DDS
Individual provider Active NPI Dentist · Dobson, NC
NPI 1306159975 · NPPES record last updated Jul 23, 2010
Key facts
- NPI
- 1306159975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 8953 (NC)
- Practice address
- 118 Hamby Rd
Dobson, NC 27017-8471 - Phone
- (919) 452-6458
- NPI assigned
- Jul 23, 2010
- Sex
- Female
- 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 |
|---|---|---|---|
| 8953 | NC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8953 | NC | Yes |
Addresses
Primary practice location
118 Hamby Rd
Dobson, NC 27017-8471
Mailing address
PO Box 331
Dobson, NC 27017-0331
Phone (919) 452-6458
Other providers in Dobson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2010. 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.