Jacqueline Buschbach, DMD, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JACQUELINE BUSCHBACH, DMD, PLLC

Doing business as

Elmhurst Dental Health Center

Practice address

1200 S York St Ste 3110
Elmhurst, IL 60126-5607

Phone

(630) 782-6999

Fax

(630) 782-6790

NPI assigned

Feb 11, 2025

Last updated

Feb 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Buschbach, DMDNPI 1215412572

Title

Owner

Phone

(773) 320-9352

Specialties & licenses 1

Addresses

Other names 1

• Elmhurst Dental Health Center Doing business as

Practitioners 1

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.

• Jacqueline Colleen Buschbach, DMD

  • Dentist
  • Cazenovia, NY
  • NPI 1215412572
  NPD Authorized official

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1457166068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 E WILSON ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264513",
            "telephone_number": "773-320-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S YORK ST STE 3110",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265607",
            "telephone_number": "630-782-6999",
            "fax_number": "630-782-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE BUSCHBACH, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "BUSCHBACH",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-320-9352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmhurst Dental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Erin Iwersen, APN-CNP
• Keith Izban, M.D.
• Danielle Jabczynski
• Michelle Jackowski, CNM
• Fred L. Jacobs, MD
• Susan R Jahn, PHYSICIAN ASSISTANT
• Craig Arlan Jamison, DPT, ATC
• Raymond V Janevicius, MD
• Christine Jankowski, MD
• Marilyn J Jarosky, MD

• Dental Clinic/Center in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.