Individual
DR. GREGORY BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
919 FLORENCE AVE, FORT WAYNE, IN 46808-2354
(260) 632-8486
Mailing address
919 FLORENCE AVE, FORT WAYNE, IN 46808-2354
(260) 632-8486
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012219A
IN
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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