Eric P Buck, DDS, Mt Vernon, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ERIC P BUCK, DDS, MT VERNON, LLC

Doing business as

Cross Creek Dental Care of Mt. Vernon

Practice address

809 Coshocton Ave Ste 300
Mount Vernon, OH 43050-1900

Phone

(740) 392-6156

NPI assigned

Jun 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Eric Paul Buck, DDS

Title

President/Dentist

Phone

(740) 392-6156

Specialties & licenses 1

Addresses

Other names 1

• Cross Creek Dental Care of Mt. Vernon Doing business as

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: office@ccmtvernon.com

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1609437243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 COSHOCTON AVE STE 300",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501900",
            "telephone_number": "740-392-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 COSHOCTON AVE STE 300",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501900",
            "telephone_number": "740-392-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC P BUCK, DDS, MT VERNON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "740-392-6156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@CCmtvernon.com",
            "affiliation": "N",
            "endpointDescription": "front desk computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "809 Coshocton Ave Ste 300",
            "city": "Mount Vernon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430501900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cross Creek Dental Care of Mt. Vernon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail L Elliott, DPM
• Jennifer Elliott, CDCA
• Nicole Elliott, RN
• Elizabeth E Emmert, LSW LPCC
• Peggy J Endsley
• Antonia Artise Erndt, PA-C
• Ashley Ervin, LCDC, III
• Kelly S Evans
• John W. Ewalt, D.D.S
• Carl R. Eyman, D.C.

• Dentist in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.