Organization
DAVID F BUTLER, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID F BUTLER DDS (OWNER)
(812) 265-6225
Entity
Organization
Contact information
Practice address
505 CRAGMONT ST, MADISON, IN 47250-3003
(812) 265-6225
(812) 265-5933
Mailing address
505 CRAGMONT ST, MADISON, IN 47250-3003
(812) 265-6225
(812) 265-5933
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12008372
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200356190A
—
IN
Enumeration date
10/24/2014
Last updated
10/24/2014
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