William Peter Butrica Jr. DDS, a Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

42036 Issued in CA

Legal business name

WILLIAM PETER BUTRICA JR. DDS, A PROFESSIONAL CORPORATION

Practice address

990 Sonoma Ave
Suite 22
Santa Rosa, CA 95404-4802

Phone

(707) 528-8400

Fax

(707) 544-4265

NPI assigned

Jan 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. William Peter Butrica Jr., D.D.S.NPI 1063575736

Title

President

Phone

(707) 528-8400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• William Peter Butrica Jr., D.D.S.

  • General Practice Dentistry
  • Santa Rosa, CA
  • NPI 1063575736
  NPD (past) Authorized official

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1801166129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE",
            "address_2": "SUITE 22",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044802",
            "telephone_number": "707-528-8400",
            "fax_number": "707-544-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE",
            "address_2": "SUITE 22",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044802",
            "telephone_number": "707-528-8400",
            "fax_number": "707-544-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM PETER BUTRICA JR. DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "BUTRICA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-528-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "42036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lee Willett, DDS, MS
• William Cox Dental Corporation
• William Diles, Inc.
• William F Kivett MD Inc
• William J. Formaker, MFT
• Annie Chalada Williams-Mitchell, MSW, LCSW
• Angelina Williams
• Brooklyn Williams
• Christina Marie Williams
• Connie May Williams

• Dental Clinic/Center in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.