Bucklin, Mary
Bucklin, Mary is an individual health care provider with primary practice located at 200 E Broadway Ave , Jackson WY 83001-8634. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bucklin, Mary can be contacted via phone (307) 733-2555.Contact Information
Primary practice address
200 E Broadway Ave
Jackson WY 83001-8634
Phone: (307) 733-2555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1528 | Wyoming |
Profile Details
| NPI number | 1669033361 |
|---|---|
| LBN Legal business name | Bucklin, Mary |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2019 |
| Last updated | Jun 24th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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