Bobby Lynn Butler, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE00006993 Issued in WA

Practice address

720 Olive Way Ste 810
Seattle, WA 98101-1836

Phone

(206) 915-9923

NPI assigned

Apr 18, 2008

Last updated

Dec 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1083888150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 MERIDIAN AVE N APT 410",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981039155",
            "telephone_number": "206-915-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 OLIVE WAY STE 810",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011836",
            "telephone_number": "206-915-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "BOBBY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00006993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Czarina M Butac, DNP, ARNP
• Maria Butiu Butcher, MD
• George Butchko
• Butheau Physiotherapy
• Aaron Wa Butler, MD
• Boone Butler
• Brianne Butler, DDS
• Catherine Rose Butler, M.D.
• Charles W Butler, MD
• David Butler

• Periodontics in Seattle, WA
• Providers in Seattle, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.