Provider Demographics
NPI:1649657776
Name:BUTLER, DANIEL FRANKLIN (DMD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:FRANKLIN
Last Name:BUTLER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:IN
Mailing Address - Zip Code:47250-3130
Mailing Address - Country:US
Mailing Address - Phone:812-599-2374
Mailing Address - Fax:
Practice Address - Street 1:502 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:IN
Practice Address - Zip Code:47250-3428
Practice Address - Country:US
Practice Address - Phone:812-645-3769
Practice Address - Fax:877-504-0082
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12012136A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice