NPIMap

Organization Active NPI

Jeffrey S. Butts DDS PC

  • Dental Clinic/Center
  • East Point, GA
National Provider Identifier
1144568965
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN014167 Issued in GA
Legal business name
JEFFREY S. BUTTS DDS PC
Practice address
3650 Marketplace Blvd
Suite 920
East Point, GA 30344-5741
Phone
(404) 344-2323
Fax
(404) 344-8123
NPI assigned
Jan 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Jeffrey Stephen Butts, DDSNPI 1033434428
Title
Owner
Phone
(404) 344-2323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Dental Clinic/Center 261QD0000X DN014167 GA Primary

Addresses

Primary practice location

3650 Marketplace Blvd
Suite 920
East Point, GA 30344-5741

Mailing address

3650 Marketplace Blvd
Suite 920
East Point, GA 30344-5741
Phone (404) 344-2323

Other names 1

  • Camp Creek Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3650 Marketplace Blvd
Ste 920
East Point, GA 30344
Phone (404) 344-2323

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1144568965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 MARKETPLACE BLVD",
            "address_2": "SUITE 920",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445741",
            "telephone_number": "404-344-2323",
            "fax_number": "404-344-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 MARKETPLACE BLVD",
            "address_2": "SUITE 920",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445741",
            "telephone_number": "404-344-2323",
            "fax_number": "404-344-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. BUTTS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-344-2323",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN014167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camp Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.