Provider Demographics
NPI:1891959060
Name:BUCHANAN, L. STEHEN
Entity type:Individual
Prefix:DR
First Name:L. STEHEN
Middle Name:
Last Name:BUCHANAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 STATE ST STE 7
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2536
Mailing Address - Country:US
Mailing Address - Phone:805-963-0373
Mailing Address - Fax:805-963-0799
Practice Address - Street 1:1515 STATE ST STE 7
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2536
Practice Address - Country:US
Practice Address - Phone:805-963-0373
Practice Address - Fax:805-963-0799
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA275911223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics