Robert Ernest Butler, DDS
Individual provider Active NPI General Practice Dentistry · Webster Groves, MO
NPI 1790847481 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790847481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DE014152 (MO)
- Practice address
- 337 W Lockwood Ave
Suite D
Webster Groves, MO 63119-2310 - Phone
- (314) 961-6406
- Fax
- (314) 961-7237
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150724010340 | MO | Order and Referring Only - Oral Surgery |
1254644859 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE014152 | MO | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE014152 | MO | Yes |
Addresses
Primary practice location
337 W Lockwood Ave
Suite D
Webster Groves, MO 63119-2310
Mailing address
337 W Lockwood Ave
Suite D
Webster Groves, MO 63119-2310
Phone (314) 961-6406
Other providers in Webster Groves, MO
- Stacy Bowring
- Anna Marie Matthews Braun
- Tammy L Bunger
- Adam John Busby
- Megan Gieseler Busiek
- Corinne Michelle Char
- Chiropractic Wellness Connection of Webster Groves PLLC
- City of Webster Groves
- Clarkson Optometry Inc
- Nicole Cooper
All providers in Webster Groves, MO · General Practice Dentistry in Missouri
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.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.