Healthcare Provider Details
I. General information
NPI: 1316781925
Provider Name (Legal Business Name): KAITLYN CURRY BUECH DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/20/2024
Last Update Date: 02/15/2025
Certification Date: 02/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2720 STANGE RD
AMES IA
50010-3974
US
IV. Provider business mailing address
2725 NORTHRIDGE PKWY UNIT 206
AMES IA
50010-7160
US
V. Phone/Fax
- Phone: 515-337-2244
- Fax:
- Phone: 563-321-8163
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | DDS-10234 |
| License Number State | IA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: