Phillip Buckley, DDS

NPI #1679981153 in Saint Clair, Missouri

Provider Information

NPI Number: 1679981153
Entity Type: Individual
Name: Phillip Buckley, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 28, 2014
Last Updated: Mar 22, 2019

Practice Location

Address: 525 E SPRINGFIELD RD
City: Saint Clair
State: Missouri
ZIP Code: 63077-1735
Phone: (636) 629-1103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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