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General NPI Number Information
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NPI Number | 1417871575
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Entity Type | Organization
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Legal Business Name | BUCHANAN DENTISTRY, PLLC
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 546 PARK ST STE 100
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City | BOWLING GREEN
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State | KY
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Zip | 42101-1780
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Country | US
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Telephone | 270-781-3133
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Fax | 270-846-0193
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Provider Business Mailing Address
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Address Line | 546 PARK ST STE 100
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City | BOWLING GREEN
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State | KY
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Zip | 42101-1780
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Country | US
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Telephone | 270-781-3133
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Fax | 270-846-0193
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | JOHN WHITAKER BUCHANAN
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Credential | DMD
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Telephone | 270-781-3133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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