Mary Bucklin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

09854 Issued in IA

Practice address

2575 1St Ave S
Altoona, IA 50009-1729

Phone

(515) 967-3046

NPI assigned

Jun 24, 2019

Last updated

Aug 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Altoona Smiles P.C.

  • General Practice Dentistry
  • Altoona, IA
  • NPI 1760659148
  NPD

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1669033361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 1ST AVE S",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091729",
            "telephone_number": "515-967-3046",
            "fax_number": "515-957-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 1ST AVE S",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091729",
            "telephone_number": "515-967-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLIN",
        "first_name": "MARY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "09854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Rose Bock
• Diane Marie Brammer O'Connor, SLP
• Jason Brown
• McKenna Paige Brown
• Nicole Brummel, D.D.S.
• Elianeth Camacho
• Jacob Anthony Campese
• Zoe Carnes
• Kimberly Caseley, HIS
• Lizbeth Cayetano, RBT

• Dentist in Altoona, IA
• Providers in Altoona, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.