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General NPI Number Information
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NPI Number | 1770125502
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Entity Type | Organization
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Legal Business Name | BUCHMAN DENTAL
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Dates
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Enumeration Date | 10/14/2019
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Last Update Date | 10/14/2019
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Provider Practice Location Address
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Address Line | 10319 W MARKHAM ST STE 600
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City | LITTLE ROCK
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State | AR
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Zip | 72205-4559
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Country | US
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Telephone | 501-227-6200
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Fax | 501-224-2328
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Provider Business Mailing Address
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Address Line | 10319 W MARKHAM ST STE 600
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City | LITTLE ROCK
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State | AR
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Zip | 72205-4559
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Country | US
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Telephone | 501-227-6200
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Fax | 501-224-2328
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Authorized Official
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Title or Position | OWNER/ DOCTOR
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Name | DR. WESLEY D BUCHMAN
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Credential | DDS
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Telephone | 501-590-4043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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