Healthcare Provider Details

I. General information

NPI: 1396425682
Provider Name (Legal Business Name): BRETT CAMERON BUHLER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2023
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

942 N 200 E
SPANISH FORK UT
84660-1247
US

IV. Provider business mailing address

942 N 200 E
SPANISH FORK UT
84660-1247
US

V. Phone/Fax

Practice location:
  • Phone: 801-794-9905
  • Fax:
Mailing address:
  • Phone: 801-794-9905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14289551-9926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: