Charles A Buthmann, DDS

Individual provider Active NPI General Practice Dentistry · Franklin Square, NY

NPI 1760531925 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1760531925
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
032292 (NY)
Practice address
55 New Hyde Park Rd
Franklin Square, NY 11010-2924
Phone
(516) 352-1621
NPI assigned
Jan 9, 2007
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

LicenseStateTypeSpecialty
032292NYMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 032292 NY Yes

Addresses

Primary practice location

55 New Hyde Park Rd
Franklin Square, NY 11010-2924

Mailing address

55 New Hyde Park Rd
Franklin Square, NY 11010-2924
Phone (516) 352-1621

Other providers in Franklin Square, NY

All providers in Franklin Square, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.