Individual
DR. MONTE L BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2713 S 74TH ST, SUITE 201, FORT SMITH, AR 72903-5170
(479) 484-0200
(479) 484-9346
Mailing address
2713 S 74TH ST, SUITE 201, FORT SMITH, AR 72903-5170
(479) 484-0200
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3173
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100072650A
—
OK
05
—
129118679
—
AR
Enumeration date
08/05/2006
Last updated
07/07/2011
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