John Randal Buttram in Panama City - Orthodontics And Dentofacial Orthopedics
John Randal Buttram - NPI 1962673970
John Randal Buttram is a Orthodontics And Dentofacial Orthopedics in Panama City, Florida. John Randal Buttram practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for John Randal Buttram is 1962673970. The last update date is 2008-03-18.
John Randal Buttram's current location address is 2335 A State Ave, Panama City, Florida. You can contact this provider via phone number 8507855500 and fax number 8507851277. The mailing address for John Randal Buttram is 2335 A State Ave, Panama City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Randal Buttram |
|---|---|
| Address | 2335 A State Ave, Panama City, Florida |
| Phone Number | 8507855500 |
| Fax Number | 8507851277 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1962673970 |
|---|---|
| Provider Enumeration Date | 2008-03-18 |
| Last Updated Date | 2008-03-18 |
Provider Mailing Address Detail
| Address | 2335 A State Ave |
|---|---|
| City | Panama City |
| State | Florida (FL) |
| Post Code | 32405 |
| Phone Number | 8507855500 |
| Fax Number | 8507851277 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DN11224 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique 10-digit identifier code issued to John Randal Buttram by the Centers for Medicare & Medicaid Services?
The John Randal Buttram has been assigned the NPI (National Provider Identifier) 1962673970 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of John Randal Buttram?
The John Randal Buttram is situated at 2335 A State Ave, in the city of Panama City, state of FL, with the zip code 32405.
What is the John Randal Buttram's area of specialization and corresponding taxonomy classification?
The John Randal Buttram's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
On what date did John Randal Buttram receive its 1962673970 assignment from the Centers for Medicare & Medicaid Services?
The John Randal Buttram was assigned its 1962673970 on 2008-03-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the John Randal Buttram's details last updated?
The information pertaining to the John Randal Buttram, including its address, specialty, and other details, was most recently updated on 2008-03-18.