| Chris J. Butchart Dds Pa | |
|
5420 Webb Rd Ste D-1 Tampa FL 33615-3250 | |
| (813) 886-0545 | |
| (813) 514-4869 |
| Full Name | Chris J. Butchart Dds Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5420 Webb Rd, Tampa, Florida |
| Authorized Official Name and Position | Chris John Butchart (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 8138860545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris J. Butchart Dds Pa 5420 Webb Rd Ste D-1 Tampa FL 33615-3250 Ph: (813) 886-0545 | Chris J. Butchart Dds Pa 5420 Webb Rd Ste D-1 Tampa FL 33615-3250 Ph: (813) 886-0545 |
| NPI Number | 1265445035 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265445035 | NPI | - | NPPES |
| 7273116 | Other | FL | AETNA DENTAL PROVIDER |
| 274669 | Other | FL | CIGNA DENTAL PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 13578 (Florida) | Primary |
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