Dwight G Buller DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7528 Issued in MN

Legal business name

DWIGHT G BULLER DDS PA

Doing business as

Parkway Place Dental

Practice address

101 W Burnsville Parkway
Suite 222
Burnsville, MN 55337-2572

Phone

(952) 895-6933

Fax

(952) 895-6976

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dwight Griffith Buller, DDS

Title

President

Phone

(952) 895-6933

Specialties & licenses 1

Addresses

Other names 1

• Parkway Place Dental Doing business as

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477626646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W BURNSVILLE PARKWAY",
            "address_2": "SUITE 222",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372572",
            "telephone_number": "952-895-6933",
            "fax_number": "952-895-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W BURNSVILLE PARKWAY",
            "address_2": "SUITE 222",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372572",
            "telephone_number": "952-895-6933",
            "fax_number": "952-895-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT G BULLER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BULLER",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "GRIFFITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-895-6933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D7528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Place Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Dukek
• Emma L Duncanson, MD
• Gillian Marais Durand, DPT
• Craig V. Duren, DDS
• Nirjhar Dutta
• Francis Aldrich Layno Dy
• Sue Dyke, RD, LD
• Dynamic Journey Massage & Wellness, Inc.
• Paul Amos Dyrud, MD
• Kelly L Dziedzic, PA-C

• General Practice Dentistry in Burnsville, MN
• Providers in Burnsville, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.