Provider Demographics
NPI:1073716114
Name:BUEHRER, JOAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:
Last Name:BUEHRER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOAN
Other - Middle Name:
Other - Last Name:KISTNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:4916 NORMANDALE HIGHLANDS DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-2319
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4916 NORMANDALE HIGHLANDS DR
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-2319
Practice Address - Country:US
Practice Address - Phone:952-835-3999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND81131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice