Individual
DR. TODD MICHAEL BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
169 SPRINGCREEK PKWY, SUITE 105, PROVIDENCE, UT 84332-9707
(435) 713-0096
(435) 713-7090
Mailing address
169 SPRINGCREEK PKWY, SUITE 105, PROVIDENCE, UT 84332-9707
(435) 713-0096
(435) 713-7090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5153406
UT
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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