S. DAVID BUCK, DDS – NPI #1134509458
Clinic/Center

S. DAVID BUCK, DDS is an AHC clinic located in SEATTLE, WA. NPPES has assigned the NPI number 1134509458 to S. DAVID BUCK, DDS on June 02, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “S. DAVID BUCK, DDS” is a dba name, the actual legal business name for this organization is BROADWAY DENTAL CENTER, INC.. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for S. DAVID BUCK, DDS below.

NPI Profile for
BROADWAY DENTAL CENTER, INC.

NPI Number
1134509458
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROADWAY DENTAL CENTER, INC.
Doing Business As (dba): S. DAVID BUCK, DDS
Primary location
310 HARVARD AVE. E.
SEATTLE, WA 98102
Phone: (206) 324-1100 Fax: (206) 324-6711
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEPHEN BUCK
OWNER/CEO
Phone: (206) 324-1100
Updated
Identifiers

Identifiers for S. DAVID BUCK, DDS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDDSWA6274
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 WA 6274

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.