Provider Demographics
NPI:1437270113
Name:BUCHANAN, JENNIFER S (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:S
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6595 VIRGINIA PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5511
Mailing Address - Country:US
Mailing Address - Phone:972-542-4412
Mailing Address - Fax:214-544-0053
Practice Address - Street 1:6595 VIRGINIA PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5511
Practice Address - Country:US
Practice Address - Phone:972-542-4412
Practice Address - Fax:214-544-0053
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX181991223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics