DR. LUCIUS NELSON BUTLER IV


Address: 5406 W Glenn Dr, # 2, Glendale, AZ 85301-2662
Phone: 6239372932

DR. LUCIUS NELSON BUTLER IV (NPI# 1598726192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598726192
Entity Type Individual
Full Name DR. LUCIUS NELSON BUTLER IV
Practice Address 5406 W Glenn Dr
# 2
Glendale
AZ 85301-2662
Mailing Address 101 W Berridge Ln
Phoenix
AZ 85013-1511
Practice Telephone 6239372932
Practice Fax Number 6234356921
Mailing Telephone 6022851417
Enumeration Date 2006-03-31
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
4308 AZ Dental Providers

Office Location

Street Address 5406 W GLENN DR
# 2
City GLENDALE
State AZ
Zip Code 85301-2662

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124011077 Sterns Pediatric Clinic,ltd. Pediatrics 5406 W Glenn Dr, Suite #6, Glendale, AZ 85301-2662 2005-08-25
1245621085 Dennis C. Trimble D.m.d., P.C. Dentist 5406 W Glenn Dr, Suite # 4, Glendale, AZ 85301-2662 2015-02-16
1801958608 Harold Nathan Sheinkopf Anesthesiology 5406 W Glenn Dr, Suite # 6, Glendale, AZ 85301-2662 2006-12-15
1619059375 Matt Oscar Hanhila Jr. Dentist 5406 W Glenn Dr, 5, Glendale, AZ 85301 2006-10-20
1124063045 Dennis C Trimble Dentist 5406 W Glenn Dr, Suite #4, Glendale, AZ 85301-2662 2006-06-17
1306839261 Shirley Jeanette Sheinkopf Pediatrics 5406 W Glenn Dr, #6, Glendale, AZ 85301-2662 2005-08-25

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1164051900 Stateserv Medical of Phoenix LLC Durable Medical Equipment & Medical Supplies 5234 W. Missouri, Glendale, AZ 85301 2020-04-03
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1144581257 Jerry Harold Brue Pharmacist 7772 N 52nd Dr, Glendale, AZ 85301 2012-06-05
1558632935 Jasmine Rojas Licensed Practical Nurse 7301 N. 58th Ave., Glendale Elem. Dist 40, Glendale, AZ 85301 2012-01-18
1184950438 Victoria Joan Petti Physical Therapist 5125 N. 58th Ave, Glendale, AZ 85301 2009-10-21
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1992940241 Lorraine Pimentel Montes Specialist 4441 W. Bethany Home Rd, Glendale, AZ 85301 2008-12-15
1770739922 Patricia Lee Click Social Worker 5400 W. Northern Avenue, Suite 120, Glendale, AZ 85301 2008-08-07
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427660422 Joson Dental Corporation Dentist 1415 E Colorado St Ste C, Glendale, CA 91205-1577 2020-08-20
1558987271 Edward Kelly Furlong Dentist 5400 W Northern Ave Ste 202, Glendale, AZ 85301-1591 2020-06-18
1578116380 Krina Patel Mesuria Dentist 4545 W Beardsley Rd Apt 2083, Glendale, AZ 85308-5080 2019-07-20
1801455068 Clayton Corbridge Dentist 20100 N 51st Ave Ste E550, Glendale, AZ 85308-5089 2019-06-11
1811454481 Lucio H Kim Dds Dentist 620 E Glenoaks Blvd Ste A, Glendale, CA 91207-1769 2019-03-01
1902386634 Arjun Bassin Dentist 7025 N 75th Ave Ste 101, Glendale, AZ 85303-2545 2018-08-21
1194216200 Brandon Dawson Dentist 9455 W Glendale Ave, Glendale, AZ 85305 2018-05-24
1578062121 Missagh Pezeshkian, D.d. S., A Professional Corporation Dentist 1016 E Broadway Ste 104, Glendale, CA 91205-4534 2018-02-09
1073037347 Ian Phillip Bishop Dentist 6249 W Kristal Way, Glendale, AZ 85308-7661 2017-07-28
1801317391 Christine Tran Dentist 18275 N 59th Ave Ste 128, Glendale, AZ 85308-1252 2017-07-05
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Competitor

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City GLENDALE
Zip Code 85301

Improve Information

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Dataset Information

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.

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