MEDICARE: MR. NEIL J BUEKER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	16680	MI

General Provider Information

NPI Number	:	1225039225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NEIL J BUEKER D.D.S.

Provider Business Mailing Address
First Line	:	7055 TOWER RD
Second Line	:	SUITE F
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-8604
Country	:	US
Telephone Number	:	269-979-0026
Fax Number	:	269-979-5144

Provider Business Practice Location Address
First Line	:	7055 TOWER RD
Second Line	:	SUITE F
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-8604
Country	:	US
Telephone Number	:	269-979-0026
Fax Number	:	269-979-5144

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	07/08/2007

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