Organization Active NPI

Gwendolyn Buck DDS PLLC

  • Dental Clinic/Center
  • Gwinn, MI
National Provider Identifier
1457904229
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GWENDOLYN BUCK DDS PLLC
Practice address
271 East Sate Highway M-35
Gwinn, MI 49841
Phone
(906) 346-6349
NPI assigned
Jul 22, 2019
Last updated
Oct 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Dr. Gwendolyn Buck, DDSNPI 1851563928
Title
Owner/Dentist
Phone
(906) 346-6349

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 Primary

Addresses

Primary practice location

271 East Sate Highway M-35
Gwinn, MI 49841

Mailing address

15954 W 171St Ter
Olathe, KS 66062-7546
Phone (402) 310-7388

National Provider Directory

National Provider Directory
Tax ID family
Gwendolyn Buck DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

271 E State Highway M35
Gwinn, MI 49841
Phone (906) 346-6349

Practitioners & affiliated clinicians

Practitioners 2

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": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1457904229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15954 W 171ST TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660627546",
            "telephone_number": "402-310-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 EAST SATE HIGHWAY M-35",
            "city": "GWINN",
            "state": "MI",
            "postal_code": "49841",
            "telephone_number": "906-346-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWENDOLYN BUCK DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "906-346-6349",
        "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": [],
    "other_names": []
}

Other providers in Gwinn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.