Provider Demographics
NPI:1992714497
Name:BUEHLER, D MICHAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:D
Middle Name:MICHAEL
Last Name:BUEHLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 VIEWMONT DR
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-1141
Mailing Address - Country:US
Mailing Address - Phone:509-965-0352
Mailing Address - Fax:
Practice Address - Street 1:6006 SUMMITVIEW AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3045
Practice Address - Country:US
Practice Address - Phone:509-965-0080
Practice Address - Fax:509-965-7328
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000044751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5376900Medicaid