| Alice M. Butterworth, D.d.s. | |
|
803 W Gardner Dr Marion IN 46952-1819 | |
| (765) 664-0587 | |
| (765) 664-1407 |
| Full Name | Alice M. Butterworth, D.d.s. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 803 W Gardner Dr, Marion, Indiana |
| Authorized Official Name and Position | Wendy Marley (OFFICE MANAGER) |
| Authorized Official Contact | 7656640587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alice M. Butterworth, D.d.s. 803 W Gardner Dr Marion IN 46952-1819 Ph: (765) 664-0587 | Alice M. Butterworth, D.d.s. 803 W Gardner Dr Marion IN 46952-1819 Ph: (765) 664-0587 |
| NPI Number | 1669913182 |
|---|---|
| Provider Enumeration Date | 03/16/2017 |
| Last Update Date | 03/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669913182 | NPI | - | NPPES |
| 100143680 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12007455 (Indiana) | Primary |
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