William Pettus Buck Jr., DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4145 Issued in MO

Practice address

1112 19TH St S
Birmingham, AL 35205-4814

Phone

(205) 933-1331

Fax

(205) 933-1353

NPI assigned

Aug 21, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Maxillofacial SurgeryAlso: Oral Surgery

Education

University of Tennessee, HSC, College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Andrew Buck, DMD

  • Student in an Organized Health Care Education/Training Program
  • Buffalo, NY
  • NPI 1356964043

  AL

  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• William P. Buck, Jr., DMD, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Birmingham, AL
  • NPI 1912276833
  NPD (past) Authorized official
• Blake Phillips D.M.D., P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Birmingham, AL
  • NPI 1881236883
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1982719639",
    "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": {
        "last_name": "BUCK",
        "first_name": "WILLIAM",
        "middle_name": "PETTUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "4145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Buchanan, MD
• Sequoia Alexus Buchanan, RN
• Trenton H. Buchanan, DMD
• Chinyere Hope Buchi-Ahiabuike, DNP, CRNP
• Gray C. Buck III, M.D.
• Robert B Buckingham, MD
• Shelleigh McVicker Buckingham, O.D.
• Susan Iskandrian Buckingham, M.D.
• Kendra Nicole Buckley, ALC, NCC
• Mark Alan Buckmaster, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.