Individual
DR. THOMAS E BUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
9880 E GRAND RIVER AVE, SUITE 150, BRIGHTON, MI 48116-2468
(810) 227-2626
(810) 227-8532
Mailing address
11525 HIGHLAND RD, SUITE 23, HARTLAND, MI 48353-2726
(810) 632-0303
(810) 632-7305
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
TB013917
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
TB013917
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190F37120
BCBS OF MI
MI
Enumeration date
08/19/2006
Last updated
06/27/2014
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