Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. William Pettus Buck Jr., DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1982719639

Dr. William Pettus Buck Jr., DMD is a Maxillofacial Surgery in Birmingham, Alabama. Graduated from University of Tennessee, Hsc, College of Medicine in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
34
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1112 19th St S
Birmingham, AL 35205-4814
Phone: (205) 933-1331
Fax: (205) 933-1353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 4145 (MO)

Record details

NPI number1982719639
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 21, 2006
Last updated in NPPESJuly 9, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesORAL SURGERY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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