Provider Demographics
NPI:1053822486
Name:BUCKSHEY, SAKSHI (DMD)
Entity Type:Individual
Prefix:DR
First Name:SAKSHI
Middle Name:
Last Name:BUCKSHEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 S END AVE APT 9G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10280-1077
Mailing Address - Country:US
Mailing Address - Phone:917-288-1446
Mailing Address - Fax:
Practice Address - Street 1:693 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7001
Practice Address - Country:US
Practice Address - Phone:212-663-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-12
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI026927001223G0001X
NY060930-01122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice