Individual
DR. ROBERT J. BUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
LANE & ASSOCIATES CORPORATE OFFICE, 19 EAST FRONT ST., BOX 2227, LILLINGTON,, NC 27546
(910) 814-2944
(910) 893-8340
Mailing address
2864 GREENWOOD RD, CHESAPEAKE, VA 23321-4227
(757) 484-1780
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8419
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179666
ANTHEM PROVIDER NUMBER
VA
Enumeration date
08/21/2006
Last updated
07/08/2007
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