Kimberly Anne Buckner, D.M.D.
Individual provider Active NPI General Practice Dentistry · Sandy Hook, KY
NPI 1316080385 · NPPES record last updated Jan 26, 2021
Key facts
- NPI
- 1316080385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7741 (KY)
- Practice address
- 38 J F Green St
Sandy Hook, KY 41171-7134 - Phone
- (606) 738-5545
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 7741 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Kimberly a. Buckner, P.L.C. | General Practice | Current |
Accepting new patients |
Locations
38 J F Green St
Sandy Hook, KY 41171
Phone (606) 738-5545
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7741 | KY | |
| General Practice Dentistry | 1223G0001X | 7741 | KY | Yes |
Addresses
Primary practice location
38 J F Green St
Sandy Hook, KY 41171-7134
Mailing address
P.O. Box 85
Sandy Hook, KY 41171
Phone (606) 495-5245
Other practice location 1
Highway 7 & 32
Sandy Hook, KY 41171
Phone (606) 738-5545
Other practice location 2
265 KY Route 122
Martin, KY 41649
Phone (606) 949-6971
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45002581 | Other | KY | EPSDT ID |
| 60000791 | Medicaid | KY |
Other providers in Sandy Hook, KY
- Kacie Dawn Altizer
- Ashland Hospital Coporation
- Aaron Parker Banks
- Amanda Adkins Blair
- Deborah Lee Brewer
- Lori Case
- George Edward Chapman III
- Melissa Clevenger
- Wayne Colyer
- Jeremy Cornett
All providers in Sandy Hook, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2021. 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.