Alice Matilda Butterworth in Marion - Pediatric Dentistry
Alice Matilda Butterworth - NPI 1548202153
Alice Matilda Butterworth is a Pediatric Dentistry in Marion, Indiana. Alice Matilda Butterworth practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Alice Matilda Butterworth is 1548202153. The last update date is 2013-02-27.
Alice Matilda Butterworth's current location address is 803 W Gardner Dr, Marion, Indiana. You can contact this provider via phone number 7656640587 and fax number 7656641407. The mailing address for Alice Matilda Butterworth is 803 W Gardner Dr, Marion, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alice Matilda Butterworth |
|---|---|
| Address | 803 W Gardner Dr, Marion, Indiana |
| Phone Number | 7656640587 |
| Fax Number | 7656641407 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1548202153 |
|---|---|
| Provider Enumeration Date | 2006-06-11 |
| Last Updated Date | 2013-02-27 |
Provider Mailing Address Detail
| Address | 803 W Gardner Dr |
|---|---|
| City | Marion |
| State | Indiana (IN) |
| Post Code | 469521819 |
| Phone Number | 7656640587 |
| Fax Number | 7656641407 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 12007455A |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100143680A | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Alice Matilda Butterworth by the Centers for Medicare & Medicaid Services?
The Alice Matilda Butterworth has been assigned the NPI (National Provider Identifier) 1548202153. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Alice Matilda Butterworth's facilities are geographically located?
The facilities of Alice Matilda Butterworth are physically situated at the following location: 803 W Gardner Dr, Marion, IN, 469521819.
What is Alice Matilda Butterworth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Alice Matilda Butterworth is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1548202153 to Alice Matilda Butterworth?
The Centers for Medicare & Medicaid Services assigned the 1548202153 to Alice Matilda Butterworth on 2006-06-11.
When was the information pertaining to Alice Matilda Butterworth most recently updated or revised?
The details related to Alice Matilda Butterworth, including its address, specialty, and other relevant information, were last updated or revised on 2013-02-27.
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