Provider Demographics
NPI:1437915899
Name:BUTTERNUT FAMILY DENTISTRY, P.C.
Entity Type:Organization
Organization Name:BUTTERNUT FAMILY DENTISTRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:DARLING
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:315-373-0187
Mailing Address - Street 1:7278 BUCKLEY RD
Mailing Address - Street 2:
Mailing Address - City:NORTH SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212-2649
Mailing Address - Country:US
Mailing Address - Phone:315-399-5119
Mailing Address - Fax:315-399-5120
Practice Address - Street 1:7278 BUCKLEY RD
Practice Address - Street 2:
Practice Address - City:NORTH SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-2649
Practice Address - Country:US
Practice Address - Phone:315-399-5119
Practice Address - Fax:315-399-5120
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BUTTERNUT FAMILY DENTISTRY, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty