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Organization
TIM L. BUTLER DDS PC
Active
Organization
TIM L. BUTLER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMMIE LEE BUTLER D.D.S. (PRESIDENT)
(309) 465-3165
Entity
Organization
Contact information
Practice address
105 WASHINGTON STREET, AVON, IL 61415-0379
(309) 465-3165
Mailing address
105 WASHINGTON STREET, P.O. BOX 379, AVON, IL 61415-0379
(309) 465-3165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19015265
IL
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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