Healthcare Provider Details

I. General information

NPI: 1295870319
Provider Name (Legal Business Name): DENNIS K. BUHLER D.D.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 S N ST
TULARE CA
93274-4214
US

IV. Provider business mailing address

202 S N ST
TULARE CA
93274-4214
US

V. Phone/Fax

Practice location:
  • Phone: 559-686-6815
  • Fax: 559-684-0648
Mailing address:
  • Phone: 559-686-6815
  • Fax: 559-684-0648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number21549
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: