David F Butler, DDS

Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Madison, IN

NPI 1174928709 · NPPES record last updated Oct 24, 2014

Key facts

NPI
1174928709
Entity type
Organization (NPI type 2)
Primary specialty
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
License
12008372 (IN)
Legal business name
DAVID F BUTLER, DDS
Practice address
505 Cragmont St
Madison, IN 47250-3003
Phone
(812) 265-6225
Fax
(812) 265-5933
NPI assigned
Oct 24, 2014
Organization subpart
No

Authorized official

Name
Dr. David F Butler, DDS
Title
Owner
Phone
(812) 265-6225

Practitioners 2

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

National Provider Directory

Locations

505 Cragmont St
Madison, IN 47250
Phone (812) 265-6225

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)
Group: 193400000X SINGLE SPECIALTY GROUP
1223S0112X 12008372 IN Yes

Addresses

Primary practice location

505 Cragmont St
Madison, IN 47250-3003

Mailing address

505 Cragmont St
Madison, IN 47250-3003
Phone (812) 265-6225

Other identifiers

IdentifierTypeStateIssuer
200356190AMedicaidIN

Other providers in Madison, IN

All providers in Madison, IN · Oral and Maxillofacial Surgery (Dentist) in Indiana

Sources for this page

Verify at the official NPI Registry.