Healthcare Provider Details

I. General information

NPI: 1053464057
Provider Name (Legal Business Name): STEVEN A BUECHLER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2007
Last Update Date: 05/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11750 CHOLLA DR STE B
DESERT HOT SPRINGS CA
92240-3064
US

IV. Provider business mailing address

PO BOX 170
GETTYSBURG SD
57442-0170
US

V. Phone/Fax

Practice location:
  • Phone: 760-251-0044
  • Fax:
Mailing address:
  • Phone: 605-765-9674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberM 451
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: