Clifford C Buehrer – General Practice Dentistry

Key facts

NPI: 1528097664
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: DN9831 (FL)
Practice address: 1226 SE 24TH Rd
Ocala, FL 34471-6010
Phone: (352) 732-2458
Fax: (352) 732-2647
NPI assigned: Jul 1, 2006
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

The Tooth Shop of Ocala, LLC General Practice Dentistry · Sorrento, FL · NPI 1902499338

NPD (past) GENERAL PRACTICE

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
DN9831	FL	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
The Tooth Shop of Ocala, LLC	General Practice	Past since Feb 1, 2021	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	DN9831	FL	Yes

Addresses

Primary practice location

1226 SE 24TH Rd
Ocala, FL 34471-6010

Mailing address

1226 SE 24TH Rd
Ocala, FL 34471-6010
Phone (352) 732-2458

Other identifiers

Identifier	Type	State	Issuer
60719	Other	FL	BLUE CROSS/BLUE SHIELD

Other providers in Ocala, FL

All providers in Ocala, FL · General Practice Dentistry in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.

Verify at the official NPI Registry.