Provider Demographics
NPI:1750508081
Name:BUCHSIEB, WALTER CHARLES II (DDS)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:CHARLES
Last Name:BUCHSIEB
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6898 LOBELIA DR
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-8460
Mailing Address - Country:US
Mailing Address - Phone:614-679-8016
Mailing Address - Fax:
Practice Address - Street 1:1386 CHERRY BOTTOM RD
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6771
Practice Address - Country:US
Practice Address - Phone:419-428-8002
Practice Address - Fax:419-428-8048
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH177091223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics