Provider Demographics
NPI:1821008442
Name:BUYER, JOHN JOSEPH II (DDS, MPH, MS, MSS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:BUYER
Suffix:II
Gender:M
Credentials:DDS, MPH, MS, MSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:100 ARBOR DR STE 105
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-6585
Mailing Address - Country:US
Mailing Address - Phone:540-381-0475
Mailing Address - Fax:540-381-6090
Practice Address - Street 1:100 ARBOR DR STE 105
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-6585
Practice Address - Country:US
Practice Address - Phone:540-381-0475
Practice Address - Fax:540-381-6090
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC86531223P0300X
VA67181223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics