Dr. Susan Buckland DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

NC6755 Issued in NC

Legal business name

DR. SUSAN BUCKLAND DDS

Practice address

3 Regional Cir.
Suite a
Pinehurst, NC 28374-0003

Phone

(910) 295-9700

Fax

(910) 295-7075

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan L Buckland, DDSNPI 1457419277

Title

Owner

Phone

(910) 295-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan L Buckland, DDS

  • General Practice Dentistry
  • Pinehurst, NC
  • NPI 1457419277
  NPD (past) Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710196902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 REGIONAL CIRCLE",
            "address_2": "SUITE A",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283740003",
            "telephone_number": "910-295-9700",
            "fax_number": "910-295-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 REGIONAL CIR.",
            "address_2": "SUITE A",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283740003",
            "telephone_number": "910-295-9700",
            "fax_number": "910-295-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUSAN BUCKLAND DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCKLAND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-295-9700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC6755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7990066",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• General Practice Dentistry in North Carolina

• 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.