Individual
DR. JAMES ROBERT BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
324 29TH ST, HUNTINGTON, WV 25702-1428
(304) 523-2790
(304) 523-2780
Mailing address
324 29TH ST, HUNTINGTON, WV 25702-1428
(304) 523-2790
(304) 523-2780
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2450
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000155464
BC/BS PROVIDER NUMBER
WV
05
—
0136895000
—
WV
01
—
155464
UNITED CONCORDIA PROVIDER
WV
Enumeration date
09/20/2006
Last updated
07/09/2007
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