Organization
CHRIS J. BUTCHART DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS JOHN BUTCHART DDS (OWNER/ORTHODONTIST)
(813) 886-0545
Entity
Organization
Contact information
Practice address
5420 WEBB RD, STE D-1, TAMPA, FL 33615-3250
(813) 886-0545
(813) 514-4869
Mailing address
5420 WEBB RD, STE D-1, TAMPA, FL 33615-3250
(813) 886-0545
(813) 514-4869
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13578
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274669
CIGNA DENTAL PROVIDER
FL
01
—
7273116
AETNA DENTAL PROVIDER
FL
Enumeration date
08/14/2006
Last updated
08/22/2020
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