| Tim L. Butler Dds Pc | |
|
105 Washington Street Avon IL 61415-0379 | |
| (309) 465-3165 | |
| Not Available |
| Full Name | Tim L. Butler Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 105 Washington Street, Avon, Illinois |
| Authorized Official Name and Position | Timmie Lee Butler (PRESIDENT) |
| Authorized Official Contact | 3094653165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tim L. Butler Dds Pc 105 Washington Street P.o. Box 379 Avon IL 61415-0379 Ph: (309) 465-3165 | Tim L. Butler Dds Pc 105 Washington Street Avon IL 61415-0379 Ph: (309) 465-3165 |
| NPI Number | 1831265313 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831265313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19015265 (Illinois) | Primary |