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NPI Code Detail

MEDICARE: DR. PAUL BUXT DMD

MEDICARE: DR. PAUL BUXT DMD
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
11223E0200XEndodontics18353TX

General Provider Information

NPI Number : 1720191281
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL BUXT DMD
Provider Business Mailing Address
First Line : 8201 PRESTON RD
Second Line : STE 375
City : DALLAS
State : TX
Zip : 75225-6203
Country : US
Telephone Number : 214-361-6669
Fax Number : 214-361-1847
Provider Business Practice Location Address
First Line : 8201 PRESTON RD
Second Line : STE 375
City : DALLAS
State : TX
Zip : 75225-6203
Country : US
Telephone Number : 214-361-6669
Fax Number : 214-361-1847
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 07/08/2007

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Directions to “ DR. PAUL BUXT DMD” Practice Location

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