# WILLIAM P. BUCK, JR., DMD, PC

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

## Provider details

- **NPI number:** 1912276833
- **Authorized official:** DR. WILLIAM PETTUS BUCK JR. DMD (ORAL MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (205) 933-1331

## Contact information

- **Practice address:** 1112 19TH ST S, BIRMINGHAM, AL 35205-4814
- **Practice address phone:** (205) 933-1331
- **Practice address fax:** (205) 933-1353
- **Mailing address:** 1112 19TH ST S, BIRMINGHAM, AL 35205-4814
- **Mailing address phone:** (205) 933-1331
- **Mailing address fax:** (205) 933-1353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 4145 | AL | Yes |

## Other

- **Enumeration date:** 12/21/2011
- **Last updated:** 12/21/2011