Individual
DR. BROCK KINSEY BUZBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2104 W CHESTERFIELD BLVD, SPRINGFIELD, MO 65807-8650
(417) 888-0771
Mailing address
2104 W CHESTERFIELD BLVD, SPRINGFIELD, MO 65807-8650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2021019648
MO
Other
Enumeration date
06/04/2021
Last updated
06/06/2021
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