NPIMap

Organization Active NPI

Eric P Buck DDS Inc

Doing business as Distinctive Smiles of Dublin

  • Dental Clinic/Center
  • Dublin, OH
National Provider Identifier
1407371628
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
30021908 Issued in OH
Legal business name
ERIC P BUCK DDS INC
Doing business as
Distinctive Smiles of Dublin
Practice address
5142 Blazer Pkwy
Dublin, OH 43017-1339
Phone
(614) 792-1800
Fax
(614) 792-2687
NPI assigned
Aug 9, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
ERIC P BUCK DDS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Eric Paul Buck, DDSNPI 1619186624
Title
Dentist/Owner
Phone
(614) 792-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 30021908 OH Primary

Addresses

Primary practice location

5142 Blazer Pkwy
Dublin, OH 43017-1339

Mailing address

5142 Blazer Pkwy
Dublin, OH 43017-1339
Phone (614) 792-1800

Other names 1

  • Distinctive Smiles of Dublin Doing business as

National Provider Directory

National Provider Directory
Part of
Eric P Buck DDS Inc

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1407371628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5142 BLAZER PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171339",
            "telephone_number": "614-792-1800",
            "fax_number": "614-792-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5142 BLAZER PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171339",
            "telephone_number": "614-792-1800",
            "fax_number": "614-792-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC P BUCK DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ERIC P BUCK DDS INC",
        "enumeration_date": "2017-08-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "614-792-1800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30021908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Distinctive Smiles of Dublin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.