Provider Demographics
NPI:1528588183
Name:BUTTER, ROSHANJIT (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROSHANJIT
Middle Name:
Last Name:BUTTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3117 68TH ST FL 1
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-1224
Mailing Address - Country:US
Mailing Address - Phone:347-536-7489
Mailing Address - Fax:
Practice Address - Street 1:183 N 6TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-3207
Practice Address - Country:US
Practice Address - Phone:718-388-3737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-26
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061659122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist