Provider Demographics
NPI:1124003348
Name:BUTTERWORTH, CATHIE H (DDS, PC)
Entity Type:Individual
Prefix:DR
First Name:CATHIE
Middle Name:H
Last Name:BUTTERWORTH
Suffix:
Gender:F
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4902
Mailing Address - Country:US
Mailing Address - Phone:540-899-7791
Mailing Address - Fax:540-899-8859
Practice Address - Street 1:2330 PLANK RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4902
Practice Address - Country:US
Practice Address - Phone:540-899-7791
Practice Address - Fax:540-899-8859
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA65751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA071205OtherANTHEM BCBS PROVIDER #
PA415763OtherUNITED CONCORDIA PROVIDER