Butt, Sidra

Butt, Sidra is an individual health care provider with primary practice located at 14631 Charter Walk Ct , Midlothian VA 23114-4694. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Butt, Sidra can be contacted via phone (804) 874-1598.

Contact Information

Primary practice address
14631 Charter Walk Ct Midlothian VA 23114-4694
Phone: (804) 874-1598
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5539 Louisiana

Profile Details

NPI number 1891840930
LBN Legal business name Butt, Sidra
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Mar 25th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891840930 NPPES
Louisiana MEDICAID 1855391
Louisiana MEDICAID 1940801

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