Provider Demographics
NPI:1801012125
Name:BUCKLEY, GEORGE RIHL (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:RIHL
Last Name:BUCKLEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4110 BELLAIRE BLVD
Mailing Address - Street 2:SUITE 218
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1007
Mailing Address - Country:US
Mailing Address - Phone:713-669-0084
Mailing Address - Fax:713-666-2344
Practice Address - Street 1:4110 BELLAIRE BLVD
Practice Address - Street 2:SUITE 218
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1007
Practice Address - Country:US
Practice Address - Phone:713-669-0084
Practice Address - Fax:713-666-2344
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX137231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice