# DR. PAUL MICHAEL THORSEN BUCK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992063093
- **Gender:** Man
- **Credential:** D.D.S., M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D9768 | OR | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D9768 | OR | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DE60827554 | WA | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | D13762 | MN | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | PG173069 | OR | — |

## Other

- **Enumeration date:** 04/26/2012
- **Last updated:** 10/11/2023