Provider Demographics
NPI:1417000423
Name:STEVEN BUECHLER DDS PC
Entity Type:Organization
Organization Name:STEVEN BUECHLER DDS PC
Other - Org Name:BUECHLER DENTAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BUECHLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:605-765-9674
Mailing Address - Street 1:PO BOX 170
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:SD
Mailing Address - Zip Code:57442-0170
Mailing Address - Country:US
Mailing Address - Phone:605-765-9674
Mailing Address - Fax:
Practice Address - Street 1:105 E BLAINE AVE
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:SD
Practice Address - Zip Code:57442-1167
Practice Address - Country:US
Practice Address - Phone:605-765-9674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDM 4511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty