ELISHA W BUCKLEY DDS PC
NPI 1104598457
Clinic/Center - Dental in Roswell, GA

Q: What is Elisha W Buckley Dds PC's NPI number?

The NPI number for Elisha W Buckley Dds PC is 1104598457. It was assigned to this organization in the NPPES registry on October 4, 2021. The provider is doing business as Buckley Dental Care.

Q: What is Elisha W Buckley Dds PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since October 04, 2021

540 E CROSSVILLE RD STE 200, ROSWELL, GA 30075(678) 524-7364 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Elisha W Buckley Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISHA W BUCKLEY DDS PC (NPI 1104598457), doing business as Buckley Dental Care, is a healthcare organization registered as a dental in Roswell, Georgia and active in the NPI registry since October 2021. The organization lists Elisha Buckley, Owner, as its authorized official.

NPPES Registry Identity

NPI1104598457

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameELISHA W BUCKLEY DDS PC

Location Address540 E CROSSVILLE RD STE 200Roswell, GA 30075-7661

Mailing Address4807 Wigley Rd NeMarietta, GA 30066-1503 · (678) 524-7364

Phone(678) 524-7364

Organization SubpartNo

Authorized OfficialElisha BuckleyOwner · (678) 524-7364

Enumeration DateOctober 4, 2021

NPPES CertifiedOctober 4, 2021

✔ NPI 1104598457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

540 E CROSSVILLE RD STE 200, Roswell, GA 30075

Open in Google Maps ↗

Other Names 1

Doing Business AsBuckley Dental Care

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELISHA W. BUCKLEY D.D.S.

Dentist (General Practice)

540 E CROSSVILLE RD STE 200
ROSWELL, GA 30075

Fulton County (770) 642-7999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elisha W Buckley Dds PC's NPI number?

The NPI number for Elisha W Buckley Dds PC is 1104598457. It was assigned to this organization in the NPPES registry on October 4, 2021. The provider is doing business as Buckley Dental Care.

Where is Elisha W Buckley Dds PC located?

Elisha W Buckley Dds PC is located at 540 E Crossville Rd Ste 200, Roswell, GA 30075. The listed phone number is (678) 524-7364.

What is Elisha W Buckley Dds PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Elisha W Buckley Dds PC was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.