Individual
DR. KENNETH C BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
2100 SOUTH 2100 EAST, SALT LAKE CITY, UT 84109
(801) 486-1155
Mailing address
2100 SOUTH 2100 EAST, SALT LAKE CITY, UT 84109
(801) 486-1155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14208073-9926
UT
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
01/29/2024
Last updated
05/13/2025
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