Organization
DAVID A. BUCHANAN, D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALLEN BUCHANAN D.M.D. (OWNER)
(270) 781-3133
Entity
Organization
Contact information
Practice address
546 PARK ST, SUITE 100, BOWLING GREEN, KY 42101-1780
(270) 781-3133
(270) 846-0193
Mailing address
546 PARK ST, SUITE 100, BOWLING GREEN, KY 42101-1780
(270) 781-3133
(270) 846-0193
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3668
KY
122300000X
Dentist
7154
KY
1223E0200X
Endodontics
3668
KY
1223E0200X
Endodontics
7154
KY
1223G0001X
General Practice Dentistry
3668
KY
1223G0001X
General Practice Dentistry
7154
KY
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60036688
—
KY
Enumeration date
05/05/2010
Last updated
06/15/2010
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