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Organization
JAMES R BUTLER DDS
Active
Organization
JAMES R BUTLER DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE FAYE FIZER (OFFICE MANAGER)
(304) 523-2790
Entity
Organization
Contact information
Practice address
324 29TH ST, HUNTINGTON, WV 25702-1428
(304) 523-2790
(304) 523-2780
Mailing address
324 29TH STREET, HUNTINGTON, WV 25702-1428
(304) 523-2790
(304) 523-2780
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000155464
BC/BS
WV
01
—
000155464
UNITED CONCORDIA
—
05
—
0136895000
—
WV
Enumeration date
09/29/2008
Last updated
09/29/2008
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