# BUTLER DENTAL GROUP, LLC

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

## Provider details

- **NPI number:** 1679094775
- **Authorized official:** DR. JEFFREY SHAMBAUGH DDS (MANAGER)
- **Authorized official phone:** (260) 493-2432

## Contact information

- **Practice address:** 106 E GREEN ST, BUTLER, IN 46721-1126
- **Practice address phone:** (260) 868-2221
- **Practice address fax:** (260) 868-2459
- **Mailing address:** 1210 SAINT ANDREWS PL, AUBURN, IN 46706-9469
- **Mailing address phone:** (260) 414-2536

## Taxonomy

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

## Other

- **Enumeration date:** 06/29/2017
- **Last updated:** 06/29/2017