Tiverton Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TIVERTON DENTAL ASSOCIATES

Practice address

1061 Fish Rd
Tiverton, RI 02878

Phone

(401) 624-2901

Fax

(401) 624-6446

NPI assigned

Nov 20, 2006

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roderick William Butlin, DMDNPI 1992900351

Title

Partner

Phone

(401) 624-2901

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roderick William Butlin, DMD

  • Dentist
  • Tiverton, RI
  • NPI 1992900351
  Authorized official Same address or phone

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1508930686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 FISH RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "02878",
            "telephone_number": "401-624-2901",
            "fax_number": "401-624-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 FISH RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "02878",
            "telephone_number": "401-624-2901",
            "fax_number": "401-624-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIVERTON DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BUTLIN",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "401-624-2901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian St.Laurent, AS
• Stone Bridge Dental Group
• Charmian Talbot, MA, LADC1, LCDP
• Cynthia Maria Thomson, SLP,CCC
• Tiverton Counseling Services
• Tiverton School Department
• Tiverton School Department
• Town of Tiverton (Tiverton Fire Department, Town of Tiverton Rescue)
• Transformations Counseling Center, Inc
• Dawn Trudeau, RN,CAS, BCHP, IMD

• General Practice Dentistry in Tiverton, RI
• Providers in Tiverton, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.