Organization
DR BUTTS ORTHODONTICS PC
Active
Parent organization
DR BUTTS ORTHODONTICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR BUTTS ORTHODONTICS
Authorized official
DR. MOHAMED H BUTT DMD (PRESIDENT)
(508) 760-3740
Entity
Organization
Contact information
Practice address
1117 ROUTE 28, SOUTH YARMOUTH, MA 02664-4457
(508) 760-3740
Mailing address
341 SUMMER ST, SOMERVILLE, MA 02144-3141
(617) 625-9400
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
18051
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110011177B
—
MA
Enumeration date
07/29/2010
Last updated
07/29/2010
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