Provider Demographics
NPI:1477577849
Name:BUTZIN, KURT A (DDS)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:A
Last Name:BUTZIN
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 1:1936 BAY ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-3924
Mailing Address - Country:US
Mailing Address - Phone:989-792-9441
Mailing Address - Fax:989-792-9158
Practice Address - Street 1:1936 BAY ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-3924
Practice Address - Country:US
Practice Address - Phone:989-792-9441
Practice Address - Fax:989-792-9158
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010128961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice