Dr. Mark Everett Butler, DDS
Dentist, General Practice in Wheeling, IL. Individual provider (NPI-1).
NPI number1407025737
StatusActive
Last updated in NPPESFeb 20, 2008
Details
- NPI
- 1407025737
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Everett Butler
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 20, 2008
- Last updated
- Feb 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019017304 | IL | Yes |
Practice location
307 S Milwaukee AveSte. 101
Wheeling, IL 60090-5076
Phone 847-459-3366 · Fax 847-459-3395
Mailing address
307 S Milwaukee AveSte. 101
Wheeling, IL 60090-5076
Phone 847-459-3366 · Fax 847-459-3395
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