NPI 1467587477 · live from the CMS NPI Registry
Jennifer Edwards Butler, DMD, PA
Dentist, Orthodontics and Dentofacial Orthopedics in Conway, SC. National Provider Identifier 1467587477, active.
NPI record
| NPI | 1467587477 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2608 Main St Unit B, Conway, SC 29526 |
| Practice phone | 832-488-2526 |
| Enumerated | February 22, 2007 |
| Last updated | August 21, 2007 |
| Authorized official | Jennifer Butler, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 3767 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.