Provider Demographics
NPI:1972159002
Name:BUTTERFOSS BARTON & PAPPAS ORTHODONTICS
Entity Type:Organization
Organization Name:BUTTERFOSS BARTON & PAPPAS ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:757-898-5448
Mailing Address - Street 1:4310 GEORGE WASHINGTON MEM HWY
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:VA
Mailing Address - Zip Code:23692-2880
Mailing Address - Country:US
Mailing Address - Phone:757-898-5448
Mailing Address - Fax:757-898-4187
Practice Address - Street 1:4310 GEORGE WASHINGTON MEM HWY
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:VA
Practice Address - Zip Code:23692-2880
Practice Address - Country:US
Practice Address - Phone:757-898-5448
Practice Address - Fax:757-898-4187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty