Organization Active NPI

Jennifer Edwards Butler, DMD, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Conway, SC
National Provider Identifier
1467587477
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3767 Issued in SC
Legal business name
JENNIFER EDWARDS BUTLER, DMD, PA
Practice address
2608 Main St Unit B
Conway, SC 29526-3760
Phone
(832) 488-2526
Fax
(843) 488-2535
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Dr. Jennifer Edwards Butler, D.M.D.NPI 1366526311
Title
President
Phone
(843) 488-2526

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3767 SC Primary

Addresses

Primary practice location

2608 Main St Unit B
Conway, SC 29526-3760

Mailing address

2608 Main St Unit B
Conway, SC 29526-3760
Phone (832) 488-2526

National Provider Directory

National Provider Directory

Locations

2608 Main St
Unit B
Conway, SC 29526
Phone (843) 488-2501

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1467587477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 MAIN ST UNIT B",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263760",
            "telephone_number": "832-488-2526",
            "fax_number": "843-488-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 MAIN ST UNIT B",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263760",
            "telephone_number": "832-488-2526",
            "fax_number": "843-488-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER EDWARDS BUTLER, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "EDWARDS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-488-2526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "3767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.