Provider Demographics
NPI:1700973930
Name:DRS. TURNER & BUTLER DMD PA
Entity Type:Organization
Organization Name:DRS. TURNER & BUTLER DMD PA
Other - Org Name:DRS JORDAN TURNER BUTLER DDSPA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:WADSWORTH
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:919-383-7402
Mailing Address - Street 1:2900 CROASDAILE DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2579
Mailing Address - Country:US
Mailing Address - Phone:919-383-7402
Mailing Address - Fax:919-383-3755
Practice Address - Street 1:2900 CROASDAILE DR
Practice Address - Street 2:SUITE 5
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2579
Practice Address - Country:US
Practice Address - Phone:919-383-7402
Practice Address - Fax:919-383-3755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0137MOtherBCBS PRACTICE GROUP NUMBE
NC1790930790OtherDR BUTLERS NPI#
1619075397OtherDR TURNERS NPI #
1831109198OtherDR JORDAN'S NPI #
NC1376651133OtherDR HOFFMANS NPI #
NC0137MOtherBCBS PRACTICE GROUP NUMBE
NCU39722Medicare UPIN
NCV01577Medicare UPIN