Organization Active NPI

J. Stephen Buckler, DMD, PC

  • Dental Clinic/Center
  • Atlanta, GA
National Provider Identifier
1679782585
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8406 Issued in GA
Legal business name
J. STEPHEN BUCKLER, DMD, PC
Practice address
3632 Chamblee Tucker Rd
Atlanta, GA 30341-4418
Phone
(770) 491-0960
NPI assigned
May 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. J. Stephen Buckler, D.M.D.
Title
Owner
Phone
(770) 491-0960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8406 GA Primary

Addresses

Primary practice location

3632 Chamblee Tucker Rd
Atlanta, GA 30341-4418

Mailing address

3632 Chamblee Tucker Rd
Atlanta, GA 30341-4418
Phone (770) 491-0960

National Provider Directory

National Provider Directory

Locations

3632 Chamblee Tucker Rd
Atlanta, GA 30341
Phone (770) 491-0960

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679782585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 CHAMBLEE TUCKER RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414418",
            "telephone_number": "770-491-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 CHAMBLEE TUCKER RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414418",
            "telephone_number": "770-491-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. STEPHEN BUCKLER, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCKLER",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-491-0960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "8406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • 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.