Individual provider · Type 1 NPI

Clinton Bissell Butler Iii, DMD

Dentist · Great Lakes, IL

NPI number 1780160556 Active

Practice location

2410 Sampson St
Great Lakes, IL 60088-2942

Mailing address

322 68th St
Kenosha, WI 53143-5132

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X9171 (SC)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1780160556

Clinton Bissell Butler Iii, DMD's National Provider Identifier is 1780160556, issued on Jul 16, 2018. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Great Lakes, IL. The record was last updated on Jul 16, 2018.