Buckeye Dental, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BUCKEYE DENTAL, INC.

Practice address

3220 S Tamiami TRL
Sarasota, FL 34239-5102

Phone

(941) 366-3636

Fax

(941) 957-0624

NPI assigned

May 18, 2021

Last updated

May 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sean Eric Matheny, DDS

Title

President

Phone

(941) 366-3636

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1770157398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395102",
            "telephone_number": "941-366-3636",
            "fax_number": "941-957-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395102",
            "telephone_number": "941-366-3636",
            "fax_number": "941-957-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "MATHENY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-366-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DN24599",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaci Buchanan
• Cynthia Marie Buchman Webb, MD
• David Carmine Buck Jr., D.O
• Nathaniel Buck, HAS, BC-HIS
• Richard H. Buck, M.D.
• Lindsey Kathleen Buckingham, PA-C
• Linda Buckley, ARNP
• Shelly Lynn Buckley, APRN
• Morgan Buckman
• Elizabeth J Budden, DPT, MOT

• Dental Clinic/Center in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.