# GREGORY BUTLER DENTAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREGORY BUTLER DENTAL GROUP, LLC
- **Other names:** Butler Dental Group, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437746989
- **Legal business name:** GREGORY BUTLER DENTAL GROUP, LLC
- **Authorized official:** LAURA TERLOSKY (OFFICE MANAGER)
- **Authorized official phone:** (260) 868-2221

## Contact information

- **Practice address:** 106 E GREEN ST, BUTLER, IN 46721-1126
- **Practice address phone:** (260) 868-2221
- **Practice address fax:** (260) 868-2485
- **Mailing address:** PO BOX 17, BUTLER, IN 46721-0017
- **Mailing address phone:** (260) 868-2221
- **Mailing address fax:** (260) 868-2485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2020
- **Last updated:** 12/30/2020