Organization Active NPI

William P. Buck, Jr., DMD, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Birmingham, AL
National Provider Identifier
1912276833
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4145 Issued in AL
Legal business name
WILLIAM P. BUCK, JR., DMD, PC
Practice address
1112 19TH St S
Birmingham, AL 35205-4814
Phone
(205) 933-1331
Fax
(205) 933-1353
NPI assigned
Dec 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Dr. William Pettus Buck Jr., DMDNPI 1982719639
Title
Oral Maxillofacial Surgeon
Phone
(205) 933-1331

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 4145 AL Primary

Addresses

Primary practice location

1112 19TH St S
Birmingham, AL 35205-4814

Mailing address

1112 19TH St S
Birmingham, AL 35205-4814
Phone (205) 933-1331

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1912276833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054814",
            "telephone_number": "205-933-1331",
            "fax_number": "205-933-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054814",
            "telephone_number": "205-933-1331",
            "fax_number": "205-933-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM P. BUCK, JR., DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PETTUS",
        "authorized_official_title_or_position": "ORAL MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "205-933-1331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "4145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.