Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265630644 Individual Practitioner Male Practitioner

Dr. David Stanley Buczak , DMD

Dentist - General Practice • Dorchester, MA

Professional Overview & Biography Verified Profile Summary

Dr. David Buczak, DMD is a registered healthcare professional specializing in Dentist - General Practice in Dorchester, MA. Practice services are available at 500 COLUMBIA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 Columbia Rd

Dorchester, MA 021252322

Telephone 6172878000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dorchester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
30 Specialists

Practicing in Dorchester, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA 21869

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1301977 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1023002169

Doctor of Medicine (M.D.)

Flora Koffi

Registered Nurse - Case Management

NPI 1023528551
NPI 1033204268

Doctor of Podiatric Medicine

Angela Gonzalez , MSN, APRN, FNP-BC

Nurse Practitioner - Family

NPI 1063227437

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Cini Pillai-Kadu , RN

Registered Nurse - Case Management

NPI 1093358368

Registered Nurse

NPI 1093526394

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 05, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2007

Registered at 500 COLUMBIA RD, DORCHESTER, MA 021252322 (Tel: 6172878000)

📍
Updated Business Mailing Address December 05, 2007

Registered at 1661 WASHINGTON ST APT 205, BOSTON, MA 021183331

👤
Provider Name / Credentials Updated December 05, 2007

Recorded as DAVID BUCZAK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2007

Dentist (License #21869 in MA)

🟢
Initial NPI Registration & Enumeration July 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265630644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2007
Last Update: December 05, 2007
Sole Proprietor: No

Mailing Address

1661 Washington St Apt 205

Boston, MA 021183331

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.