Provider Demographics
NPI:1770628075
Name:DR DAVID W BUTLER
Entity Type:Organization
Organization Name:DR DAVID W BUTLER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST DENTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-307-9797
Mailing Address - Street 1:9692 LEVIN RD NW
Mailing Address - Street 2:#102
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383
Mailing Address - Country:US
Mailing Address - Phone:360-307-9797
Mailing Address - Fax:360-307-9494
Practice Address - Street 1:9692 LEVIN RD NW
Practice Address - Street 2:#102
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383
Practice Address - Country:US
Practice Address - Phone:360-307-9797
Practice Address - Fax:360-307-9494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA99281223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty