Individual
DR. KIMBERLY SPENCER BUTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
2727 PLEASANT VALLEY RD, MOBILE, AL 36606
(251) 473-5705
Mailing address
23953 MONTROSE WOODS DR, FAIRHOPE, AL 36532-6367
(251) 455-5181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D0006315-C1
AL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
C16315
AL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D0006315-C1
AL
Other
Enumeration date
01/09/2019
Last updated
09/13/2022
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