Individual
DR. DAVID MICHAEL BUKSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3745 SOUTH MADISON ST, MUNCIE, IN 47302
(765) 896-9857
(765) 352-0254
Mailing address
1030 E MORGAN ST, MARTINSVILLE, IN 46151-1743
(765) 352-0250
(765) 352-0254
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009906
IN
1223G0001X
General Practice Dentistry
12009906A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200233800
—
IN
Enumeration date
11/15/2005
Last updated
08/28/2020
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