# BUFANO & BUFANO DDS PA

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

## Provider details

- **NPI number:** 1780606897
- **Authorized official:** DR. ERIC BUFANO DDS (PRESIDENT)
- **Authorized official phone:** (919) 781-2234

## Contact information

- **Practice address:** 3386 SIX FORKS RD, RALEIGH, NC 27609-7233
- **Practice address phone:** (919) 781-2234
- **Practice address fax:** (919) 781-1642
- **Mailing address:** 3386 SIX FORKS RD, RALEIGH, NC 27609-7233
- **Mailing address phone:** (919) 781-2234
- **Mailing address fax:** (919) 781-1642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 890314C | — | NC |