Individual
DR. RICHARD STEPHEN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4837 CAROLINA BEACH RD, SUITE 202, WILMINGTON, NC 28412-2368
(910) 799-9916
(910) 399-1702
Mailing address
4837 CAROLINA BEACH RD, SUITE 202, WILMINGTON, NC 28412-2368
(910) 799-9916
(910) 399-1702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6958
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1264W
BLUECROSS BLUESHIELD
NC
05
—
891264W
—
NC
Enumeration date
05/25/2006
Last updated
04/14/2011
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