# DAVID A. BUCHANAN, D.M.D.

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

## Provider details

- **NPI number:** 1447578265
- **Authorized official:** DR. DAVID ALLEN BUCHANAN D.M.D. (OWNER)
- **Authorized official phone:** (270) 781-3133

## Contact information

- **Practice address:** 546 PARK ST, SUITE 100, BOWLING GREEN, KY 42101-1780
- **Practice address phone:** (270) 781-3133
- **Practice address fax:** (270) 846-0193
- **Mailing address:** 546 PARK ST, SUITE 100, BOWLING GREEN, KY 42101-1780
- **Mailing address phone:** (270) 781-3133
- **Mailing address fax:** (270) 846-0193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3668 | KY | Yes |
| 122300000X | Dentist | 7154 | KY | — |
| 1223E0200X | Endodontics | 3668 | KY | — |
| 1223E0200X | Endodontics | 7154 | KY | — |
| 1223G0001X | General Practice Dentistry | 3668 | KY | — |
| 1223G0001X | General Practice Dentistry | 7154 | KY | — |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 126800000X | Dental Assistant | — | NULL | — |
| 126800000X | Dental Assistant | — | — | — |

## Other

- **Enumeration date:** 05/05/2010
- **Last updated:** 06/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60036688 | — | KY |