Provider Demographics
NPI:1780826305
Name:BUCKEYE IMAGING
Entity Type:Organization
Organization Name:BUCKEYE IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:S
Authorized Official - Last Name:DEMARCO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:724-325-3770
Mailing Address - Street 1:4806 WM PENN HWY
Mailing Address - Street 2:
Mailing Address - City:EXPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15632
Mailing Address - Country:US
Mailing Address - Phone:724-325-3770
Mailing Address - Fax:724-325-3770
Practice Address - Street 1:4806 WM PENN HWY
Practice Address - Street 2:
Practice Address - City:EXPORT
Practice Address - State:PA
Practice Address - Zip Code:15632
Practice Address - Country:US
Practice Address - Phone:724-325-3770
Practice Address - Fax:724-325-3770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-019464-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty