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Individual

JOHN A. BUETTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
4790 WOODMERE BLVD, MONTGOMERY, AL 36106-3065
(334) 279-0760
(334) 215-1153
Mailing address
4790 WOODMERE BLVD, MONTGOMERY, AL 36106-3065
(334) 279-0760
(334) 215-1153

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4076
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51501071
BCBS PROVIDER ID
AL
01
801707
UNITED CONCORDIA
AL
Enumeration date
01/30/2007
Last updated
07/08/2007
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