Kimberly L. Butler, DDS
Individual provider Active NPI Dentist · Alvin, TX
NPI 1023330735 · NPPES record last updated Feb 22, 2010
Key facts
- NPI
- 1023330735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 22656 (TX)
- Practice address
- 216 S. Johnson
Alvin, TX 77511 - Phone
- (281) 331-1223
- Fax
- (281) 585-5586
- NPI assigned
- Feb 22, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22656 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David C Boyles Jr DDS PC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22656 | TX | Yes |
Addresses
Primary practice location
216 S. Johnson
Alvin, TX 77511
Mailing address
216 S. Johnson
Alvin, TX 77511
Phone (281) 331-1223
Other providers in Alvin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.