Individual
DR. ERIC RICHARD BUCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
190 MURRAY GUARD DR, JACKSON, TN 38305-3609
(731) 668-8922
Mailing address
22 HUNTINGTON PL, JACKSON, TN 38305-9664
(502) 693-7597
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS0000009439
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2010
Last updated
01/10/2017
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