IndividualActive
Andrew Buckner
NPI 1124694252 · Dentist · Liberty, MO
Provider details
- NPI number
- 1124694252
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2021019497 (MO)
Specialties & taxonomies
Dental Providers
Practice location
1508 Ne 96th St Ste a
Liberty, MO 64068-1396
Phone: (816) 415-5808
Fax: (816) 415-8083
Approximate (ZIP-level) locationGet directions
Mailing address
6900 N Ames Ave Apt E
Kansas City, MO 64151-4859
Registry dates
- Enumerated
- 2021-05-30
- Last updated
- 2021-05-30
- Certified
- 2021-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.