Alice M. Butterworth, D.D.S.
Organization Active NPI Pediatric Dentistry · Marion, IN
NPI 1669913182 · NPPES record last updated Mar 16, 2017
Key facts
- NPI
- 1669913182
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 12007455 (IN)
- Legal business name
- ALICE M. BUTTERWORTH, D.D.S.
- Practice address
- 803 W Gardner Dr
Marion, IN 46952-1819 - Phone
- (765) 664-0587
- Fax
- (765) 664-1407
- NPI assigned
- Mar 16, 2017
- Organization subpart
- No
Authorized official
- Name
- Wendy Marley
- Title
- Office Manager
- Phone
- (765) 664-0587
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | 12007455 | IN | Yes |
Addresses
Primary practice location
803 W Gardner Dr
Marion, IN 46952-1819
Mailing address
803 W Gardner Dr
Marion, IN 46952-1819
Phone (765) 664-0587
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100143680 | Medicaid | IN |
Other providers in Marion, IN
- Arwa Akram
- Ala Shiyab MD LLC
- Keaton Albert
- Sarah Albert
- Danielle Albertson
- Dennis Allen
- Anastazia A Alleyne
- Alliance Health Centers Inc.
- Allied Physicians Inc., D/B/a Ear, Nose & Throat Specialists
- Allied Physicians Inc., D/B/a Indiana Ohio Heart
All providers in Marion, IN · Pediatric 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 Mar 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.