Provider Demographics
NPI:1003530510
Name:KAREN K BUTTAR DMD, PLC
Entity Type:Organization
Organization Name:KAREN K BUTTAR DMD, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NAVKIRAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:BUTTAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:507-258-4333
Mailing Address - Street 1:1903 32ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-8321
Mailing Address - Country:US
Mailing Address - Phone:507-258-4333
Mailing Address - Fax:
Practice Address - Street 1:1903 32ND AVE NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-8321
Practice Address - Country:US
Practice Address - Phone:507-258-4333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty