Butler, Monte L
Butler, Monte L is an individual health care provider with primary practice located at 2713 S 74Th St Suite 201, Fort Smith AR 72903-5170. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Butler, Monte L can be contacted via phone (479) 484-0200.Contact Information
Primary practice address
2713 S 74Th St Suite 201
Fort Smith AR 72903-5170
Phone: (479) 484-0200
Fax: (479) 484-9346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3173 | Arkansas |
Profile Details
| NPI number | 1306855754 |
|---|---|
| LBN Legal business name | Butler, Monte L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 7th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306855754 | NPPES |
| Arkansas | MEDICAID | 129118679 | |
| Arkansas | MEDICAID | 100072650A |
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