Brandy R. Buckner, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8953 Issued in NC

Legal business name

BRANDY R. BUCKNER, DDS, PC

Doing business as

Kindred Oaks Dentistry

Practice address

1170 US 1 Hwy
Ste 110
Youngsville, NC 27596-9020

Phone

(919) 452-6458

NPI assigned

Jan 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Brandy Renee Buckner, D.D.S.

Title

Owner/Dentist

Phone

(919) 452-6458

Specialties & licenses 1

Addresses

Other names 1

• Kindred Oaks Dentistry Doing business as

Locations

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1720476229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 US HWY 1",
            "address_2": "SUITE100/110",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "27596",
            "telephone_number": "919-452-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 US 1 HWY",
            "address_2": "STE 110",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275969020",
            "telephone_number": "919-452-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDY R. BUCKNER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "BUCKNER",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "919-452-6458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Oaks Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nefertari Vandervall Bartley, LCMHCA, NCC
• Jaime Bierwagen, LPC
• Bryn Blackmon
• Justin Wayne Bordeaux, PA
• Kimberly A Brancaccio, M.S. CCC-SLP
• Wiley Brantley, PHARMD
• Ronnie Earl Brown Jr., RRT, RCP, E-AEC
• Jason Stuart Bryant, DNP, FNP, ENP
• Building Futures LLC
• Eryn Burke, MS, CCC-SLP

• General Practice Dentistry in Youngsville, NC
• Providers in Youngsville, 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 Jan 6, 2015; 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.