M Forest Butler DDS Ms PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

7999 Issued in GA

Legal business name

M FOREST BUTLER DDS MS PC

Practice address

320 Killian Hill Rd NW
Lilburn, GA 30047-3809

Phone

(770) 921-3555

Fax

(770) 564-2244

NPI assigned

Oct 20, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Milton Forest Butler, DDS

Title

Owner

Phone

(770) 921-3555

Specialties & licenses 1

Addresses

Other names 1

• Gwinnett Dental Implant Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nisha Maniar Kancherla, DMD

  • Periodontics
  • Lilburn, GA
  • NPI 1699104927
  NPD (past)

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1679977656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 KILLIAN HILL RD NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473809",
            "telephone_number": "770-921-3555",
            "fax_number": "770-564-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 KILLIAN HILL RD NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473809",
            "telephone_number": "770-921-3555",
            "fax_number": "770-564-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M FOREST BUTLER DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "FOREST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-921-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "7999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gwinnett Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amara Rae Lorenzo
• Joyce Willie Mae Lovett, M.D.
• Loving Home Care of Georgia
• Judy Wills Lowder, LPC, MAC
• Laura Kweley Lumor
• Bianca Isabella Macias
• Courtni Danielle Macon
• Charles D Magruder, MD MPH
• Rosetta Malayil
• Mary Maloof, PT

• Periodontics in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.