Brian Scott Buttyan, DDS
Individual provider Active NPI General Practice Dentistry · Lovington, NM
NPI 1720194863 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720194863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DD2152 (NM)
- Practice address
- 124 E Central Ave
Lovington, NM 88260-4214 - Phone
- (505) 396-2803
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD2152 | NM | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DD2152 | NM | Yes |
Addresses
Primary practice location
124 E Central Ave
Lovington, NM 88260-4214
Mailing address
124 E Central Ave
Lovington, NM 88260-4214
Phone (505) 396-2803
Other providers in Lovington, NM
- Lindsey Anitra Broom
- Moses Bulambo
- Sharyn Bush
- Cecilia Bustamante
- Maricela Bustillos
- Grace Caltagirone
- Sara Lee Campbell
- Kayla Campos
- Mary Victoria Cansino
- Peter Earl Carmany
All providers in Lovington, NM · General Practice Dentistry in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.