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)
(781) 837-1961
Entity
Organization
Contact information
Practice address
696 PLAIN ST, MARSHFIELD, MA 02050-2100
(781) 837-1961
Mailing address
341 SUMMER ST, SOMERVILLE, MA 02144-3141
(617) 625-9400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
18051
MA
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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