Andrew Stephen Buckner

NPI #1124694252 in Liberty, Missouri

Provider Information

NPI Number: 1124694252
Entity Type: Individual
Name: Andrew Stephen Buckner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: May 30, 2021
Last Updated: May 30, 2021

Practice Location

Address: 1508 NE 96TH ST STE A
City: Liberty
State: Missouri
ZIP Code: 64068-1396
Phone: (816) 415-5808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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