MEDICARE: MR. STANLEY BUCK HUTCHISON D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	29172	TX
2	1223G0001X	General Practice Dentistry	D12678	MN

General Provider Information

NPI Number	:	1013148105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STANLEY BUCK HUTCHISON D.D.S.

Provider Business Mailing Address
First Line	:	116 E. 1ST ST.
Second Line	:
City	:	CAMERON
State	:	TX
Zip	:	76520
Country	:	US
Telephone Number	:	254-697-3118
Fax Number	:	254-605-0664

Provider Business Practice Location Address
First Line	:	116 E. 1ST ST.
Second Line	:
City	:	CAMERON
State	:	TX
Zip	:	76520
Country	:	US
Telephone Number	:	254-697-3118
Fax Number	:	254-605-0664

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2009
Last Update Date	:	12/11/2025

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Directions to “ MR. STANLEY BUCK HUTCHISON D.D.S.” Practice Location

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