Provider Demographics
NPI:1417275439
Name:BUDDE & BUEKER D.D.S., PARTNERSHIP
Entity Type:Organization
Organization Name:BUDDE & BUEKER D.D.S., PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:FRITZ
Authorized Official - Last Name:BUDDE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:252-441-5811
Mailing Address - Street 1:PO BOX 180
Mailing Address - Street 2:
Mailing Address - City:KILL DEVIL HILLS
Mailing Address - State:NC
Mailing Address - Zip Code:27948-0180
Mailing Address - Country:US
Mailing Address - Phone:252-441-5811
Mailing Address - Fax:
Practice Address - Street 1:3118 N CROATAN HWY
Practice Address - Street 2:
Practice Address - City:KILL DEVIL HILLS
Practice Address - State:NC
Practice Address - Zip Code:27948-9254
Practice Address - Country:US
Practice Address - Phone:252-441-5811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty