# AARON T. BUCHANAN, DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Buchanan Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477939585
- **Authorized official:** DR. AARON BUCHANAN D.D.S. (OWNER/DENTIST)
- **Authorized official phone:** (580) 304-7590

## Contact information

- **Practice address:** 400 FAIRVIEW AVE, BLDG 1, STE 2, PONCA CITY, OK 74601-1920
- **Practice address phone:** (580) 304-7590
- **Practice address fax:** (580) 304-7593
- **Mailing address:** 400 FAIRVIEW AVE, BLDG 1, STE 2, PONCA CITY, OK 74601
- **Mailing address phone:** (580) 304-7590
- **Mailing address fax:** (580) 304-7593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6582 | OK | Yes |

## Other

- **Enumeration date:** 07/31/2015
- **Last updated:** 07/31/2015