Healthcare Provider Details

I. General information

NPI: 1447435771
Provider Name (Legal Business Name): AMY M BUEHLER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2008
Last Update Date: 01/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 N UNIVERSITY AVE PEDIATRIC DENTAL CLINIC, ROOM 2075
ANN ARBOR MI
48109-1078
US

IV. Provider business mailing address

1011 N UNIVERSITY AVE PEDIATRIC DENTAL CLINIC, ROOM 2075
ANN ARBOR MI
48109-1078
US

V. Phone/Fax

Practice location:
  • Phone: 734-764-1523
  • Fax:
Mailing address:
  • Phone: 734-764-1523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number56442
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: