Organization
CHAUTAUQUA HILLS DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMIE REED BUTLER JR. DDS, MS (PARTNER/MANAGER)
(620) 725-3122
Entity
Organization
Contact information
Practice address
120 W OSAGE ST, SEDAN, KS 67361-1518
(620) 725-3122
(620) 725-5395
Mailing address
120 W OSAGE ST, SEDAN, KS 67361-1518
(620) 725-3122
(620) 725-5395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60001
KS
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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