Provider Demographics
NPI:1528156197
Name:EARL J BUEHNER JR D.D.S. P.C.
Entity type:Organization
Organization Name:EARL J BUEHNER JR D.D.S. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BUEHNER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:570-544-4446
Mailing Address - Street 1:517 SUNBURY ST
Mailing Address - Street 2:
Mailing Address - City:MINERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17954-1015
Mailing Address - Country:US
Mailing Address - Phone:570-544-4446
Mailing Address - Fax:570-544-5224
Practice Address - Street 1:517 SUNBURY ST
Practice Address - Street 2:
Practice Address - City:MINERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17954-1015
Practice Address - Country:US
Practice Address - Phone:570-544-4446
Practice Address - Fax:570-544-5224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS 019956L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty