Andrew Buckles, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

11064 Issued in KY

Practice address

151 Drexler Cir
Elizabethtown, KY 42701-7843

Phone

(589) 229-6924

NPI assigned

Jun 15, 2022

Last updated

Jun 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748736000000",
    "number": "1710617410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 DREXLER CIR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017843",
            "telephone_number": "859-229-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 DREXLER CIR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017843",
            "telephone_number": "589-229-6924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 N Main St",
            "address_purpose": "LOCATION",
            "city": "Nicholasville",
            "state": "KY",
            "postal_code": "403561025",
            "country_code": "US",
            "telephone_number": "859-608-1579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4384 Clearwater Way Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405156479",
            "country_code": "US",
            "telephone_number": "859-608-1579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 Evergreen Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "KY",
            "postal_code": "402432427",
            "country_code": "US",
            "telephone_number": "859-608-1579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLES",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2025-06-01",
        "certification_date": "2025-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DRPM2443",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "11064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Thornton Bryant IV, M.D.
• Timothy James Bryant, CRNA
• Troy Bryant, APSS
• Laura Ashley Buchanan, M.D.
• Vanessa Marie Buckler, OTR
• Teresa Renee Buckley
• Olivia Buckman
• Brittany Nicole Buckner
• Building Foundations Counseling and Consultation
• Henry H. Bunch, M.D.

• Pediatric Dentistry in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.