Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 3986 | NC |
NPI | 1104155043 |
---|---|
Provider Name | Dr. Thomas K Buttler |
First Address | Cary, NC 27518 |
Second Address | Cary, NC 27518-7091 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2009 |
Last Update Date | 23/12/2009 |