Healthcare Provider Details

I. General information

NPI: 1528097664
Provider Name (Legal Business Name): CLIFFORD C BUEHRER D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1226 SE 24TH RD
OCALA FL
34471-6010
US

IV. Provider business mailing address

1226 SE 24TH RD
OCALA FL
34471-6010
US

V. Phone/Fax

Practice location:
  • Phone: 352-732-2458
  • Fax: 352-732-2647
Mailing address:
  • Phone: 352-732-2458
  • Fax: 352-732-2647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN9831
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: