Paola Andrea Buckley, DMD., D.SC,

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN1857014 Issued in MA

Practice address

9 Leighton St
Natick, MA 01760-1719

Phone

(781) 974-9308

NPI assigned

Aug 26, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Paola Andrea Hurtado-Buckley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1558677724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LEIGHTON ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601719",
            "telephone_number": "781-974-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LEIGHTON ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601719",
            "telephone_number": "781-974-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "PAOLA",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "DMD., D.SC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1857014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAOLA",
            "last_name": "HURTADO-BUCKLEY",
            "middle_name": "ANDREA",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Bruner, DVM
• Shawn Bryant
• Trevor A Bryant, OTR/L
• Bsocial, Inc
• Megan Ellen Buckingham, M.S.ED CCC-SLP
• Dale Buckman, NP
• Olivia Buonopane
• Talia Buonopane
• Colleen Burns
• Kathleen J Burns, NP

• Periodontics in Natick, MA
• Providers in Natick, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.