Provider Demographics
NPI:1871245134
Name:R BUTLER DDS PLLC
Entity Type:Organization
Organization Name:R BUTLER DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-474-4869
Mailing Address - Street 1:10509 SE 10TH CT
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6297
Mailing Address - Country:US
Mailing Address - Phone:734-474-4869
Mailing Address - Fax:
Practice Address - Street 1:7928 MUKILTEO SPEEDWAY STE 201
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-2607
Practice Address - Country:US
Practice Address - Phone:425-609-0230
Practice Address - Fax:425-609-0231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty