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Organization
BARTLESVILLE PERIODONTICS AND DENTAL IMPLANTS
Active
Organization
BARTLESVILLE PERIODONTICS AND DENTAL IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMIE REED BUTLER DDS, MS (PERIODONTIST)
(918) 333-0990
Entity
Organization
Contact information
Practice address
2419 NOWATA PL, SUITE 101, BARTLESVILLE, OK 74006-4708
(918) 333-0990
Mailing address
2419 NOWATA PL, SUITE 101, BARTLESVILLE, OK 74006-4708
(918) 333-0990
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5160
OK
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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