MEDICARE: DR. ROBERT J. BUCH D.D.S., M.D.

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	D8077	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	179666	OTHER	VA	ANTHEM PROVIDER NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467567974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT J. BUCH D.D.S., M.D.

Provider Business Mailing Address
First Line	:	6677 W THUNDERBIRD RD STE H120
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85306-3726
Country	:	US
Telephone Number	:	623-792-5794
Fax Number	:	623-792-5809

Provider Business Practice Location Address
First Line	:	6677 W THUNDERBIRD RD STE H120
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85306-3726
Country	:	US
Telephone Number	:	623-792-5794
Fax Number	:	623-792-5809

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

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	06/08/2026

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