PHILLIP BUCKLEY (NPI# 1679981153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679981153 |
| Entity Type | Individual |
| Full Name | PHILLIP BUCKLEY |
| Credential | DDS |
| Practice Address |
525 E Springfield Rd Saint Clair MO 63077-1735 |
| Mailing Address |
1008 Tamarisk Dr Leavenworth KS 66048-5594 |
| Practice Telephone | 6366291103 |
| Mailing Telephone | 3145669072 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2019-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2014016767 | MO | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Caisson Hill Rd, Us Army Dental Activity, Fort Riley, KS 664427037 | 7852397241 | 7852405749 |
| Street Address |
525 E SPRINGFIELD RD |
| City | SAINT CLAIR |
| State | MO |
| Zip Code | 63077-1735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073073227 | St Clair Family Dentistry | Clinic/Center | 525 E Springfield Rd, Saint Clair, MO 63077-1735 | 2019-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346687845 | Medley Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 1435 N. Main St., St. Clair, MO 63077 | 2013-05-24 |
| 1225367337 | St Clair Allergy-asthma | Specialist | 1020 St. Clair Plaza, St. Clair, MO 63077 | 2009-12-18 |
| 1568614063 | Victorian Manor of St Clair | Assisted Living Facility | 160 Charles Dr, St Clair, MO 63077 | 2008-10-15 |
| 1962664052 | Anita Farris Altemeyer | Physical Therapist | 214 Hartman Place, St Clair, MO 63077 | 2008-06-30 |
| 1720113053 | John D Marcum | Allergy & Immunology | 1020 St Clair Plaza, St Clair, MO 63077 | 2007-02-23 |
| 1538227970 | St. Clair Ambulance District | Ambulance | 3 Paul Parks Dr, St. Clair, MO 63077 | 2006-12-05 |
| 1821162280 | Kiko Enterprises, LLC | Pharmacy | 920 H St Clair Plaza Dr, St Clair, MO 63077 | 2006-11-20 |
| 1235139221 | Kirk Edward Brockman | Family Medicine | 1001 Cardwell St, St. Clair, MO 63077 | 2005-07-30 |
| 1487869368 | Kamil Dostalik | Physical Therapist | 1135 N Commercial Ave, Saint Clair, MO 63077-1012 | 2007-05-13 |
| 1982914818 | St Clair Physical Therapy Inc | Clinic/Center | 1135 N Commercial Ave, Saint Clair, MO 63077-1012 | 2010-10-13 |
| Find all providers in zip 63077 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902397862 | Jennifer Lynn Deblouw | Dentist | 1980 Fred W Moore Hwy, Saint Clair, MI 48079-4701 | 2018-05-25 |
| 1134502057 | Vikram Shad | Dentist | 350 Terry Rich Blvd, Saint Clair, PA 17970-1193 | 2015-07-09 |
| 1417082504 | Dennis J Mc Coy | Dentist | 1085 Carl St, Saint Clair, MO 63077-1601 | 2007-02-22 |
| 1205098217 | Dennis J. Mccoy, D.d.s., P.C. | Dentist | 1085 Carl St, Saint Clair, MO 63077-1601 | 2008-06-30 |
| 1568678027 | George L Friederichs | Dentist | 315 Adams St, Saint Clair, MI 48079-4861 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649883505 | Kameris Austin-biggs | Dentist | 3500 Jeffco Blvd Ste 100, Arnold, MO 63010-6122 | 2020-08-28 |
| 1003428335 | Ralph Thomas Dinges | Dentist | 7124 S Outer 364, O Fallon, MO 63368-7756 | 2020-08-18 |
| 1093326670 | Amani Abdulateef | Dentist | 4016 Lemay Ferry Rd, Saint Louis, MO 63129-1858 | 2020-08-16 |
| 1033728407 | Sarah Giacomini | Dentist | 1520 S 5th St Ste 103, Saint Charles, MO 63303-4127 | 2020-07-30 |
| 1225647704 | James Andrew Kleoppel | Dentist | 3320 Ne Ralph Powell Rd., Lee's Summit, MO 64064 | 2020-07-30 |
| 1912516923 | Richard Houston Rash | Dentist | 303 N Keene St Ste 202-210, Columbia, MO 65201-8050 | 2020-07-26 |
| 1043828627 | Tara Elizabeth Habibi | Dentist | 3422 Utah St Fl 2, Saint Louis, MO 63118-2727 | 2020-07-20 |
| 1053929778 | Travis Barrett | Dentist | 729 Winding Bluffs Dr, Fenton, MO 63026-5564 | 2020-07-20 |
| 1952929614 | Brianna Buchheit | Dentist | 701 E Market Pkwy, Belton, MO 64012 | 2020-07-09 |
| 1467079707 | Amber Arshad | Dentist | 3901 S Bolger Rd, Independence, MO 64055-6779 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR |
| Zip Code | 63077 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.