BOBBY L. BUTLER, DDS PLLC (NPI# 1285637538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285637538 |
| Entity Type | Organization |
| Organization Name | BOBBY L. BUTLER, DDS PLLC |
| Other Organization Name | ADVANCED PERIODONTICS, MICROSURGERY & IMPLANTOLOGY OF SEATTLE |
| Practice Address |
509 Olive Way Ste 1524 Seattle WA 98101-1749 |
| Practice Telephone | 2062231501 |
| Practice Fax Number | 2062231554 |
| Mailing Telephone | 2062231501 |
| Mailing Fax Number | 2062231554 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BOBBY LYNN BUTLER (OWNER) |
| Authorized Official Telephone | 2062231501 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DE00006993 | WA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Advanced Periodontics, Microsurgery & Implantology of Seattle | Other Name - Individual/Organization |
| Street Address |
509 OLIVE WAY STE 1524 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98101-1749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174057350 | Gumshoe Health | Clinic/Center | 509 Olive Way, Ste 755, Seattle, WA 98101-1720 | 2017-04-14 |
| 1841723426 | Nfm Health Incorporated | Naturopath | 509 Olive Way, Suite 1315, Seattle, WA 98101-1720 | 2017-04-10 |
| 1831620145 | Andrew Marks | Massage Therapist | 509 Olive Way, Ste 755, Seattle, WA 98101-1720 | 2017-03-27 |
| 1215468400 | Camille Christine Campbell | Massage Therapist | 509 Olive Way, Ste. 755, Seattle, WA 98101-1720 | 2017-03-21 |
| 1639610934 | Andrew Birton Smith | Family Medicine | 509 Olive Way, Seattle, WA 98101-1720 | 2017-03-20 |
| 1043752827 | Caroline M Herron, Dds, Msd, Pllc | Dentist | 509 Olive Way, #627, Seattle, WA 98101-1720 | 2016-11-10 |
| 1447701891 | Burcu Bayirli | Dentist | 509 Olive Way, Seattle, WA 98101-1720 | 2016-10-20 |
| 1184170672 | Joanne Epping-jordan Phd Pllc | Psychologist | 509 Olive Way, Suite 204, Seattle, WA 98101-1726 | 2016-08-25 |
| 1083167266 | Alan E Moritis Dds Pllc | Dentist | 509 Olive Way, Suite 1520, Seattle, WA 98101-1720 | 2016-07-25 |
| 1669925855 | Marshall Langohr Dds | Dentist | 509 Olive Way, Suite 1221, Seattle, WA 98101-1720 | 2016-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1699313353 | Eunyoung Kim | Pharmacist | 925 Seneca Street, H3-pi, Seattle, WA 98101 | 2019-12-12 |
| 1407405657 | Maryanne Wambui Mirie | Registered Nurse | Josephinum 1902 2 Nd Ave, C/o Crew ., Seattle, WA 98101 | 2019-09-10 |
| 1437714854 | Bossakara Sokhom | Student in an Organized Health Care Education/Training Program | 925 Seneca St. Mailstop H8-gme, Seattle, WA 98101 | 2019-05-01 |
| 1841752516 | Hai Quan Ngoc Truong | Student in an Organized Health Care Education/Training Program | 925 Seneca St, H8-gme, Seattle, WA 98101 | 2019-04-02 |
| 1134689318 | Kaitlin Alyse Geck | Student in an Organized Health Care Education/Training Program | 928 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2019-03-22 |
| 1659860088 | Jaime Mauricio Jimenez | Student in an Organized Health Care Education/Training Program | Virginia Mason 925 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2018-05-01 |
| 1184156861 | Benjamin Perin | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, H8-gme, Virginia Mason, Seattle, WA 98101 | 2017-03-31 |
| 1316478258 | John Robert Coleman | Anesthesiology | 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 | 2017-03-22 |
| Find all providers in zip 98101 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653397 | Rika Takada | Dentist | B403 Health Sciences Building, Seattle, WA 98195-0001 | 2020-06-14 |
| 1467074757 | Amit Srikant Gharpure | Dentist | 1959 Ne Pacific Street Health Science Center Room B-403, Seattle, WA 98195-0001 | 2020-05-10 |
| 1164890026 | Shih-chung Liao | Dentist | 720 Olive Way Ste 810, Seattle, WA 98101-1836 | 2015-09-09 |
| 1093147068 | Etheridge Family Dentistry | Dentist | 3130 E Madison St Ste 103, Seattle, WA 98112-4221 | 2013-08-01 |
| 1790036903 | Neal Christopher Raval | Dentist | 2801 1st Avenue, #509, Seattle, WA 98121 | 2012-09-27 |
| 1083971238 | Yung-ting Hsu | Dentist | 1959 Ne Pacific St # D-554, Seattle, WA 98195-7444 | 2012-04-12 |
| 1760760847 | Martin J. Campbell | Dentist | 2046 Westlake Ave N Ste 204, Seattle, WA 98109-2753 | 2011-07-24 |
| 1962739102 | David Au-yeung, Dmd., Pllc | Dentist | 2033 2nd Ave, #906, Seattle, WA 98121-2242 | 2009-11-09 |
| 1760465306 | Thomas Patrick Sweeney | Dentist | 701 5th Ave Ste 4660, Seattle, WA 98104-7057 | 2005-11-29 |
| 1326044058 | Er-jia Mao | Dentist | 2111 N Northgate Way, Ste 215, Seattle, WA 98133-9018 | 2005-06-27 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.