Provider Demographics
NPI:1699862995
Name:BUHLER DENTAL CARE, LLC
Entity type:Organization
Organization Name:BUHLER DENTAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DALTON
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-543-2768
Mailing Address - Street 1:PO BOX 571
Mailing Address - Street 2:115 N. MAIN
Mailing Address - City:BUHLER
Mailing Address - State:KS
Mailing Address - Zip Code:67522-0571
Mailing Address - Country:US
Mailing Address - Phone:620-543-2768
Mailing Address - Fax:
Practice Address - Street 1:115 N. MAIN
Practice Address - Street 2:
Practice Address - City:BUHLER
Practice Address - State:KS
Practice Address - Zip Code:67522
Practice Address - Country:US
Practice Address - Phone:620-543-2768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5269122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100096700AMedicaid