Healthcare Provider Details

I. General information

NPI: 1558559450
Provider Name (Legal Business Name): EMILY MARIE BUEHNER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY MARIE COOPER DDS

II. Dates (important events)

Enumeration Date: 10/05/2007
Last Update Date: 09/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22500 ALLEN RD
WOODHAVEN MI
48183-2238
US

IV. Provider business mailing address

5050 SCHAEFER RD
DEARBORN MI
48126-3249
US

V. Phone/Fax

Practice location:
  • Phone: 734-676-7878
  • Fax: 734-676-6347
Mailing address:
  • Phone: 313-582-8150
  • Fax: 313-582-6015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901019694
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: