| Jennifer Edwards Butler, Dmd, Pa | |
|
2608 Main St Unit B Conway SC 29526-3760 | |
| (832) 488-2526 | |
| (843) 488-2535 |
| Full Name | Jennifer Edwards Butler, Dmd, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2608 Main St Unit B, Conway, South Carolina |
| Authorized Official Name and Position | Jennifer Edwards Butler (PRESIDENT) |
| Authorized Official Contact | 8434882526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Edwards Butler, Dmd, Pa 2608 Main St Unit B Conway SC 29526-3760 Ph: (832) 488-2526 | Jennifer Edwards Butler, Dmd, Pa 2608 Main St Unit B Conway SC 29526-3760 Ph: (832) 488-2526 |
| NPI Number | 1467587477 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467587477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3767 (South Carolina) | Primary |
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