Healthcare Provider Details
I. General information
NPI: 1487296448
Provider Name (Legal Business Name): BUEHLER FAMILY DENTAL, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/11/2019
Last Update Date: 10/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
912 W MAIN STREET SUITE 404
NEW HOLLAND PA
17557
US
IV. Provider business mailing address
912 W MAIN STREET SUITE 404
NEW HOLLAND PA
17557
US
V. Phone/Fax
- Phone: 717-656-0005
- Fax: 717-656-2406
- Phone: 717-656-0005
- Fax: 717-656-2406
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHRISTIN
RAIMONDO
BUEHLER
Title or Position: DOCTOR OF DENTAL SURGERY
Credential: D.D.S.
Phone: 717-656-0005