Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elisha W Buckley DDS PC

Organization Dental Clinic/Center · NPI 1104598457

Elisha W Buckley DDS PC is a Dental Clinic/Center in Roswell, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

540 E Crossville Rd Ste 200
Roswell, GA 30075-7661
Phone: (678) 524-7364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1104598457
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elisha Buckley — Owner · (678) 524-7364
Other names Buckley Dental Care
NPI enumeratedOctober 4, 2021
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021
Mailing address4807 Wigley Rd Ne, Marietta, GA 30066-1503

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