Organization · Type 2 NPI

Elisha W Buckley DDS PC

Dental Clinic/Center · Roswell, GA

NPI number 1104598457 Active

Practice location

540 E Crossville Rd Ste 200
Roswell, GA 30075-7661

Call (678) 524-7364 Map

Mailing address

4807 Wigley Rd NE
Marietta, GA 30066-1503

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1104598457

Elisha W Buckley DDS PC's National Provider Identifier is 1104598457, issued on Oct 4, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Roswell, GA. The record was last updated on Oct 4, 2021.