Provider Demographics
NPI:1649216474
Name:BUXTON, JON SCOTT (DDS)
Entity type:Individual
Prefix:DR
First Name:JON
Middle Name:SCOTT
Last Name:BUXTON
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 1:1478 N MCKINLEY RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:MI
Mailing Address - Zip Code:48433-9419
Mailing Address - Country:US
Mailing Address - Phone:810-659-3944
Mailing Address - Fax:810-659-5453
Practice Address - Street 1:G3535 BEECHER RD
Practice Address - Street 2:SUITE I
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-2700
Practice Address - Country:US
Practice Address - Phone:810-230-7483
Practice Address - Fax:810-230-7614
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010134281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice