Organization
BUECKER & LONG PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD LOUIS BUECKER DMD (OFFICER)
(502) 633-1915
Entity
Organization
Contact information
Practice address
1100 WASHINGTON STREET, SHELLBYVILLE, KY 40065-1462
(502) 633-1915
(502) 633-1098
Mailing address
1100 WASHINGTON STREET, SHELLBYVILLE, KY 40065-1462
(502) 633-1915
(502) 633-1098
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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