Organization
BARTLESVILLE PERIODONTICS AND DENTAL IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMIE REED BUTLER DDS, MS (PERIODONTIST)
(918) 333-0990
Entity
Organization
Contact information
Practice address
2419 NOWATA PL, SUITE 101, BARTLESVILLE, OK 74006-4708
(918) 333-0990
Mailing address
2419 NOWATA PL, SUITE 101, BARTLESVILLE, OK 74006-4708
(918) 333-0990
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5160
OK
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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