# JARED T BUCK DDS LTD

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

## Provider details

- **NPI number:** 1790003853
- **Authorized official:** JARED THOMAS BUCK DDS (PRESIDENT)
- **Authorized official phone:** (775) 883-3434

## Contact information

- **Practice address:** 1177 N DIVISION ST, CARSON CITY, NV 89703-3874
- **Practice address phone:** (775) 883-3434
- **Mailing address:** 1177 N DIVISION ST, CARSON CITY, NV 89703-3874
- **Mailing address phone:** (775) 883-3434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | S7-70C | NV | Yes |

## Other

- **Enumeration date:** 05/12/2010
- **Last updated:** 05/12/2010