Buczak, David Stanley
Buczak, David Stanley is an individual health care provider with primary practice located at 500 Columbia Rd , Dorchester MA 02125-2322. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Buczak, David Stanley can be contacted via phone (617) 287-8000.Contact Information
Primary practice address
500 Columbia Rd
Dorchester MA 02125-2322
Phone: (617) 287-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 21869 | Massachusetts |
Profile Details
| NPI number | 1265630644 |
|---|---|
| LBN Legal business name | Buczak, David Stanley |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2007 |
| Last updated | Dec 5th, 2007 - about 18 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 | 1265630644 | NPPES |
| Massachusetts | MEDICAID | 1301977 |
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