Provider Demographics
NPI:1528154135
Name:BUTLER, DAVID ALLAN (DDS)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ALLAN
Last Name:BUTLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3425 HIGHWAY 6
Mailing Address - Street 2:106
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4512
Mailing Address - Country:US
Mailing Address - Phone:281-980-3222
Mailing Address - Fax:281-265-4727
Practice Address - Street 1:3425 HIGHWAY 6
Practice Address - Street 2:106
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4512
Practice Address - Country:US
Practice Address - Phone:281-980-3222
Practice Address - Fax:281-265-4727
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14285122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist