# ADVANCED DENTISTRY OF BUTLER LLC

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

## Provider details

- **NPI number:** 1326574286
- **Authorized official:** DR. ROBERT FORNALCZYK (OWNER)
- **Authorized official phone:** (724) 282-4436

## Contact information

- **Practice address:** 101 DECATUR DR, BUTLER, PA 16002-3891
- **Practice address phone:** (724) 444-0608
- **Practice address fax:** (724) 282-2559
- **Mailing address:** 10497 ALLANTE CT, GIBSONIA, PA 15044-7462
- **Mailing address phone:** (724) 282-4436
- **Mailing address fax:** (724) 282-2559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS021397L | PA | Yes |

## Other

- **Enumeration date:** 05/11/2017
- **Last updated:** 05/11/2017