# JAMES R BUTLER DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104076041
- **Authorized official:** MS. CONNIE FAYE FIZER (OFFICE MANAGER)
- **Authorized official phone:** (304) 523-2790

## Contact information

- **Practice address:** 324 29TH ST, HUNTINGTON, WV 25702-1428
- **Practice address phone:** (304) 523-2790
- **Practice address fax:** (304) 523-2780
- **Mailing address:** 324 29TH STREET, HUNTINGTON, WV 25702-1428
- **Mailing address phone:** (304) 523-2790
- **Mailing address fax:** (304) 523-2780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2008
- **Last updated:** 09/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000155464 | BC/BS | WV |
| 01 | — | 000155464 | UNITED CONCORDIA | — |
| 05 | — | 0136895000 | — | WV |