Active NPIIndividual provider

Dr. Panasaya Buckley, DMD

Dentist, Pediatric Dentistry in Medford, Massachusetts

NPI Number1336427665
Practice location
80 High St, Medford, MA 02155-3872
Fax
—
Last updated
May 4, 2015

Panasaya Buckley is a Dentist, Pediatric Dentistry based in Medford, MA. Panasaya Buckley practices in Medford, MA and has the professional credentials of DMD. The NPI Number for Panasaya Buckley is 1336427665 and holds a License No. DN1856217 (MA). The current practice location address for Panasaya Buckley is 80 High St, Medford, MA 02155-3872 and can be reached out via phone at 781-931-8300.

Provider Profile Details

NPI Number
1336427665
Provider Name
Panasaya Buckley
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
80 High St, Medford, MA 02155-3872
Phone Number
781-931-8300
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
August 3, 2011
Last Update Date
May 4, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 High St
Medford, MA 02155-3872
Zip
02155-3872
Phone Number
781-931-8300
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
512 Massachusetts Ave Apt 1
Boston, MA 02118-1419
City
Boston
State
MA
Zip
02118-1419

License Information

License Number
DN1856217
License State
MA
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Panasaya Buckley, DMD?

The NPI number of Dr. Panasaya Buckley, DMD is 1336427665. It was assigned on August 3, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Panasaya Buckley, DMD?

Dr. Panasaya Buckley, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in MA under license number DN1856217.

Where does Dr. Panasaya Buckley, DMD practice?

The practice location is 80 High St, Medford, MA 02155-3872. The office can be reached at 781-931-8300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336427665 directly on the NPPES registry website.

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