Individual
DR. BRAD SCOTT BUCKINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6800 BURNET RD STE 5, AUSTIN, TX 78757-2853
(512) 527-3294
(512) 291-2866
Mailing address
6800 BURNET RD STE 5, AUSTIN, TX 78757-2853
(512) 527-3294
(512) 291-2866
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29448
TX
122300000X
Dentist
9412
TN
Other
Enumeration date
06/22/2011
Last updated
03/05/2015
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