Wellformed AI

NPI 1366526311 · live from the CMS NPI Registry

Jennifer Edwards Butler, DMD PA

Dentist, Orthodontics and Dentofacial Orthopedics in Conway, SC. National Provider Identifier 1366526311, active.

NPI record

NPI1366526311 Type 1 · individual
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location2608-B Main St, Conway, SC 29526
Practice phone843-488-2526
EnumeratedOctober 25, 2006
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400X3767 (SC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.