Healthcare Provider Details

I. General information

NPI: 1154848984
Provider Name (Legal Business Name): WHITNEY MEEK BUECHEL DMD, MSD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1577 EBENEZER RD
ROCK HILL SC
29732-1806
US

IV. Provider business mailing address

612 BUCKS QUARRY CT
FORT MILL SC
29708-0208
US

V. Phone/Fax

Practice location:
  • Phone: 803-324-5396
  • Fax:
Mailing address:
  • Phone: 803-397-6742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number942
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number8456
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: