Active NPIIndividual provider

Bassam Butto, DDS

Dentist, Orthodontics and Dentofacial Orthopedics in Kearny, New Jersey

NPI Number1467181123
Practice location
242 Kearny Ave, Kearny, NJ 07032-2505
Fax
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Last updated
June 22, 2026

Bassam Butto is a Dentist, Orthodontics and Dentofacial Orthopedics based in Kearny, NJ. Bassam Butto practices in Kearny, NJ and has the professional credentials of DDS. The NPI Number for Bassam Butto is 1467181123 and holds a License No. 07653 (NJ). The current practice location address for Bassam Butto is 242 Kearny Ave, Kearny, NJ 07032-2505 and can be reached out via phone at 201-955-2500.

Provider Profile Details

NPI Number
1467181123
Provider Name
Bassam Butto
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
242 Kearny Ave, Kearny, NJ 07032-2505
Phone Number
201-955-2500
Sole Proprietor
No
Other Names
Bassam Farid (Former Name)
Provider Enumeration Date
June 8, 2022
Last Update Date
June 22, 2026
Certification Date
June 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
242 Kearny Ave
Kearny, NJ 07032-2505
City
Kearny
Zip
07032-2505
Phone Number
201-955-2500
Kearny, NJ 07032Get directions →

Provider Business Mailing Address Details

Address
242 Kearny Ave
Kearny, NJ 07032-2505
City
Kearny
State
NJ
Zip
07032-2505
Phone Number
201-955-2500

License Information

License Number (1)
07653
License State (1)
NJ
Taxonomy (1)
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary
License Number (2)
22DI02987000
License State (2)
NJ
Taxonomy (2)
Dentist · 122300000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bassam Butto, DDS?

The NPI number of Bassam Butto, DDS is 1467181123. It was assigned on June 8, 2022 and is currently active in the NPPES registry.

What is the specialty of Bassam Butto, DDS?

Bassam Butto, DDS is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in NJ under license number 07653.

Where does Bassam Butto, DDS practice?

The practice location is 242 Kearny Ave, Kearny, NJ 07032-2505. The office can be reached at 201-955-2500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467181123 directly on the NPPES registry website.

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