Provider Demographics
NPI:1225039225
Name:BUEKER, NEIL J (DDS)
Entity Type:Individual
Prefix:MR
First Name:NEIL
Middle Name:J
Last Name:BUEKER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7055 TOWER RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-8604
Mailing Address - Country:US
Mailing Address - Phone:269-979-0026
Mailing Address - Fax:269-979-5144
Practice Address - Street 1:7055 TOWER RD
Practice Address - Street 2:SUITE F
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-8604
Practice Address - Country:US
Practice Address - Phone:269-979-0026
Practice Address - Fax:269-979-5144
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI16680122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist