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Dr. Alice Matilda Butterworth, DDS
Pediatric Dentist in Marion, Indiana
NPI 1548202153

Alice Matilda Butterworth is a Pediatric Dentist based in Marion, IN and is specialized in Pediatric Dentistry. Alice Matilda Butterworth practices in Marion, IN and has the professional credentials of DDS. The NPI Number for Alice Matilda Butterworth is 1548202153 and holds a License No. 12007455A (Indiana).

The current practice location address for Alice Matilda Butterworth is 803 W Gardner Dr, Marion, IN and can be reached out via phone at 765-664-0587 and via fax at 765-664-1407.

Location: 803 W Gardner Dr, Marion, IN, 46952-1819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548202153
Provider Name
Alice Matilda Butterworth
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
803 W Gardner Dr, Marion, IN, 46952-1819
Phone Number
765-664-0587
Fax Number
765-664-1407
Provider Enumeration Date
06/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100143680A 05 IN
institution
Provider Business Practice Location Address Details
Address
803 W Gardner Dr
City
Marion
State
Indiana
Zip
46952-1819
Phone Number
765-664-0587
Fax Number
765-664-1407
person
Provider Business Mailing Address Details
Address
803 W Gardner Dr
City
Marion
State
Indiana
Zip
46952-1819
Phone Number
765-664-0587
Fax Number
765-664-1407
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
12007455A (Indiana)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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