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Contact Information

STEVEN J BUTLER, DDS
7845 CARNEGIE BLVD
FORT WAYNE, IN46804
 Phone: 260-423-2340
 Fax: 260-969-4118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for STEVEN J BUTLER · (Male)

NPI Number 1801806948
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/09/2006
Last updated 07/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 12008555
  • IN Medicaid 200029030
  • OH Other 30.019803 OHIO STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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