Matthew Allen Butler, DDS
Individual provider Active NPI General Practice Dentistry · Tell City, IN
NPI 1194872341 · NPPES record last updated Jan 28, 2025
Key facts
- NPI
- 1194872341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12010730A (IN)
- Practice address
- 819 Main St
Tell City, IN 47586-2105 - Phone
- (812) 548-4444
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160218001159 | IN | Order and Referring Only - Dentist |
2062717739 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butler Family Dentistry, LLC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12010730A | IN | Yes |
Addresses
Primary practice location
819 Main St
Tell City, IN 47586-2105
Mailing address
915 10TH St
Tell City, IN 47586-2119
Other providers in Tell City, IN
- Misty Dawn Bozarth
- Melissa Breitweiser
- Eric Paul Burris
- Butler Family Dentistry, LLC
- Allen Ward Butler
- Meghan E Butler
- Danielle Carpenter
- Melissa Carter
- Clarity Audiology LLC
- Kristen M Cooper
All providers in Tell City, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.