Provider Demographics
NPI:1003928649
Name:BUTTERMAN, DANIEL GARY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:GARY
Last Name:BUTTERMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3949 E ARAPAHOE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2069
Mailing Address - Country:US
Mailing Address - Phone:303-221-3044
Mailing Address - Fax:303-362-9529
Practice Address - Street 1:3949 E ARAPAHOE RD STE 100
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-2069
Practice Address - Country:US
Practice Address - Phone:303-221-3044
Practice Address - Fax:303-362-9529
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7218122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO840801501OtherFEDERAL & STATE TAX ID #