# BUECKER & LONG PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124137823
- **Authorized official:** DR. GERARD LOUIS BUECKER DMD (OFFICER)
- **Authorized official phone:** (502) 633-1915

## Contact information

- **Practice address:** 1100 WASHINGTON STREET, SHELLBYVILLE, KY 40065-1462
- **Practice address phone:** (502) 633-1915
- **Practice address fax:** (502) 633-1098
- **Mailing address:** 1100 WASHINGTON STREET, SHELLBYVILLE, KY 40065-1462
- **Mailing address phone:** (502) 633-1915
- **Mailing address fax:** (502) 633-1098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 08/22/2020