| Elisha W Buckley Dds Pc | |
|
540 E Crossville Rd Ste 200 Roswell GA 30075-7661 | |
| (678) 524-7364 | |
| Not Available |
| Full Name | Elisha W Buckley Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 540 E Crossville Rd Ste 200, Roswell, Georgia |
| Authorized Official Name and Position | Elisha Buckley (OWNER) |
| Authorized Official Contact | 6785247364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elisha W Buckley Dds Pc 4807 Wigley Rd Ne Marietta GA 30066-1503 Ph: (678) 524-7364 | Elisha W Buckley Dds Pc 540 E Crossville Rd Ste 200 Roswell GA 30075-7661 Ph: (678) 524-7364 |
| NPI Number | 1104598457 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 10/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104598457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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