Bobby L. Butler, DDS PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE00006993 Issued in WA

Legal business name

BOBBY L. BUTLER, DDS PLLC

Practice address

509 Olive Way
Ste 1524
Seattle, WA 98101-1749

Phone

(206) 223-1501

Fax

(206) 223-1554

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Bobby Lynn Butler, DDS

Title

Owner

Phone

(206) 223-1501

Specialties & licenses 1

Addresses

Other names 1

• Advanced Periodontics, Microsurgery & Implantology of Seattle Other name

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285637538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "STE 1524",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011749",
            "telephone_number": "206-223-1501",
            "fax_number": "206-223-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "STE 1524",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011749",
            "telephone_number": "206-223-1501",
            "fax_number": "206-223-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY L. BUTLER, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-223-1501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00006993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Periodontics, Microsurgery & Implantology of Seattle",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bob Johnsons Pharmacy
• Bob Johnsons Pharmacy Inc
• Bob'S Psychotherapy
• Valerie L Bobb, PHYSICAL THERAPIST
• Bobbi M. Smith Counseling
• Samuel Louis Bobek, DMD, MD
• Hailey Elizabeth Bobin Cole, RN
• Ashley R Bobman
• Katherine Bobo, RN
• Raffael Boccamazzo

• 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 Aug 22, 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.