Individual
DR. THOMAS HENDERSON BUTLER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
875 UNION AVE STE C211, MEMPHIS, TN 38103-3513
(901) 448-6213
Mailing address
3571 KENWOOD AVE, MEMPHIS, TN 38122-4555
(731) 661-1623
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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