Organization Active NPI

Buechele Dental PA

Doing business as Clermont Family Dentistry

  • Clinic/Center
  • Clermont, FL
National Provider Identifier
1710791256
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BUECHELE DENTAL PA
Doing business as
Clermont Family Dentistry
Practice address
12344 Roper Blvd
Clermont, FL 34711-4300
Phone
(352) 242-1763
NPI assigned
Feb 5, 2025
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Manfred Buechele, DMDNPI 1285894956
Title
Owner
Phone
(352) 242-1763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

12344 Roper Blvd
Clermont, FL 34711-4300

Mailing address

12344 Roper Blvd
Clermont, FL 34711-4300
Phone (352) 242-1763

Other names 1

  • Clermont Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

12344 Roper Blvd
Clermont, FL 34711
Phone (352) 242-1763

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1710791256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12344 ROPER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347114300",
            "telephone_number": "352-242-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12344 ROPER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347114300",
            "telephone_number": "352-242-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUECHELE DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "BUECHELE",
        "authorized_official_first_name": "MANFRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-242-1763",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clermont Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.