Individual
DR. ROBERT MICHAEL BUXBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15125
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
15125
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015125
TUFTS
MA
01
—
40331
HARVARD
MA
Enumeration date
12/14/2005
Last updated
10/28/2014
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