Provider Demographics
NPI:1932239779
Name:BUCHMAN, DENNIS JL (DMD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:JL
Last Name:BUCHMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 W BAKER ST
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-4309
Mailing Address - Country:US
Mailing Address - Phone:813-659-4929
Mailing Address - Fax:813-659-4941
Practice Address - Street 1:1205 W BAKER STREET
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-4309
Practice Address - Country:US
Practice Address - Phone:813-659-4929
Practice Address - Fax:813-659-4941
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN76671223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics