Tiffany Lynne Buller, DDS
Individual provider Active NPI General Practice Dentistry · Bellbrook, OH
NPI 1891781894 · NPPES record last updated Jan 22, 2026
Key facts
- NPI
- 1891781894
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30.022095 (OH)
- Practice address
- 4403 State Route 725
Suite C
Bellbrook, OH 45305 - Phone
- (937) 848-8662
- Fax
- (937) 848-2317
- NPI assigned
- Sep 25, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151222001737 | KY | Order and Referring Only - Dentist |
8729389481 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12010111A | IN | MD | Dentist |
| 8558 | KY | MD | General Practice Dentistry |
| 30.022095 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiffany L. Buller-Schussler, DDS, PLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12010111A | IN | |
| General Practice Dentistry | 1223G0001X | 30.022095 | OH | Yes |
| General Practice Dentistry | 1223G0001X | 8558 | KY |
Addresses
Primary practice location
4403 State Route 725
Suite C
Bellbrook, OH 45305
Mailing address
4403 State Route 725 Ste C
Bellbrook, OH 45305-2700
Phone (937) 848-8662
Other providers in Bellbrook, OH
- Eric Bletzinger
- Craig Dean Boreman
- Sharae Branch
- Bruce A Brown
- Stephanie Bruggeman
- Jennifer Lynn Burns
- Kaitlin Bushroe
- Julie Lyn Buzzard
- Yissell Carpentino
- City of Bellbrook
All providers in Bellbrook, OH · General Practice Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.