| Butler Dental Group, Llc | |
|
106 E Green St Butler IN 46721-1126 | |
| (260) 868-2221 | |
| (260) 868-2459 |
| Full Name | Butler Dental Group, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 106 E Green St, Butler, Indiana |
| Authorized Official Name and Position | Jeffrey Shambaugh (MANAGER) |
| Authorized Official Contact | 2604932432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Butler Dental Group, Llc 1210 Saint Andrews Pl Auburn IN 46706-9469 Ph: (260) 414-2536 | Butler Dental Group, Llc 106 E Green St Butler IN 46721-1126 Ph: (260) 868-2221 |
| NPI Number | 1679094775 |
|---|---|
| Provider Enumeration Date | 06/29/2017 |
| Last Update Date | 06/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679094775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Gregory Butler Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 E Green St, Butler, IN 46721 Phone: 260-868-2221 Fax: 260-868-2485 |