Provider Demographics
NPI:1124861331
Name:BUTLER, TAYLOR HELEN (DMD, RDH, MPH)
Entity type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:HELEN
Last Name:BUTLER
Suffix:
Gender:F
Credentials:DMD, RDH, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4327 NORTHERN PIKE STE 102
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2827
Mailing Address - Country:US
Mailing Address - Phone:412-824-3288
Mailing Address - Fax:
Practice Address - Street 1:4327 NORTHERN PIKE STE 102
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2827
Practice Address - Country:US
Practice Address - Phone:412-824-3288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-15
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0447001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice