Butler, Steven J
Butler, Steven J is an individual health care provider with primary practice located at 7845 Carnegie Blvd , Fort Wayne IN 46804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Butler, Steven J can be contacted via phone (260) 423-2340.Contact Information
Primary practice address
7845 Carnegie Blvd
Fort Wayne IN 46804
Phone: (260) 423-2340
Fax: (260) 969-4118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 12008555 | Indiana |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12008555 | Indiana |
Profile Details
| NPI number | 1801806948 |
|---|---|
| LBN Legal business name | Butler, Steven J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jul 9th, 2020 - about 4 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 | 1801806948 | NPPES |
| Indiana | MEDICAID | 200029030 | |
| Indiana | Other | 30.019803 |
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