Butler, Gregory
Butler, Gregory is an sole proprietor health care provider with primary practice located at 919 Florence Ave , Fort Wayne IN 46808-2354. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Butler, Gregory can be contacted via phone (260) 632-8486.Contact Information
Primary practice address
919 Florence Ave
Fort Wayne IN 46808-2354
Phone: (260) 632-8486
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12012219A | Indiana |
Profile Details
| NPI number | 1578968004 |
|---|---|
| LBN Legal business name | Butler, Gregory |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2014 |
| Last updated | Oct 27th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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