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Dr. Leon Butcher IV, DDS
Student in an Organized Health Care Education/Training Program in Syracuse, New York
NPI 1629761127

Leon Butcher IV is a Student in an Organized Health Care Education/Training Program based in Syracuse, NY. Leon Butcher IV practices in Syracuse, NY and has the professional credentials of DDS. The NPI Number for Leon Butcher IV is 1629761127 and holds a License No. 390200000X (New York).

The current practice location address for Leon Butcher IV is 750 E Adams St, Syracuse, NY and can be reached out via phone at 716-534-0355 and via fax at 716-534-0355.

Location: 750 E Adams St, Syracuse, NY, 13210-2306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629761127
Provider Name
Leon Butcher IV
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
750 E Adams St, Syracuse, NY, 13210-2306
Phone Number
716-534-0355
Fax Number
716-534-0355
Provider Enumeration Date
05/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
716-534-0355
Fax Number
716-534-0355
person
Provider Business Mailing Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
716-534-0355
Fax Number
716-534-0355
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
390200000X (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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