Buckley, Steven Boyd
Buckley, Steven Boyd is an individual health care provider with primary practice located at 4499 Medical Dr Suite 190, San Antonio TX 78229-3735. He recently has 4 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Radiology, Dental Providers / General Practice. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Buckley, Steven Boyd can be contacted via phone (210) 614-3915.Contact Information
Primary practice address
4499 Medical Dr Suite 190
San Antonio TX 78229-3735
Phone: (210) 614-3915
Fax: (210) 614-3918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | H3805 | Texas |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D12801 | Texas |
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | H3805 | Texas |
| Dental Providers / Oral and Maxillofacial Radiology | 1223X0008X | H3805 | Texas |
| Dental Providers / General Practice | 1223G0001X | H3805 | Texas |
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | D12801 | Texas |
| Dental Providers / Oral and Maxillofacial Radiology | 1223X0008X | D12801 | Texas |
| Dental Providers / General Practice | 1223G0001X | D12801 | Texas |
Profile Details
| NPI number | 1285602276 |
|---|---|
| LBN Legal business name | Buckley, Steven Boyd |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Feb 26th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285602276 | NPPES |
| Texas | MEDICAID | 079997501 | |
| Texas | MEDICAID | 079997502 |
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