DR. STEVEN J BUTLER (NPI# 1801806948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801806948 |
| Entity Type | Individual |
| Full Name | DR. STEVEN J BUTLER |
| Credential | DDS |
| Practice Address |
7845 Carnegie Blvd Fort Wayne IN 46804 |
| Mailing Address |
7845 Carnegie Blvd Fort Wayne IN 46804-5792 |
| Practice Telephone | 2604232340 |
| Practice Fax Number | 2609694118 |
| Mailing Telephone | 2604232340 |
| Mailing Fax Number | 2609694118 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
12008555 | IN | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 12008555 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO STATE LICENSE | 30.019803 | 01 |
| IN | 200029030 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4606 D East State Blvd, Fort Wayne, IN 468156963 | 2604232340 | 2604225342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598238891 | Steven Butler | Counselor | 144 Aspinal Ave., Afia Bld. Suite 202, Hagatna, GU 96910 | 2019-01-09 |
| 1700358967 | Steven Butler | Counselor | 3901 S Fife St Ste 301, Tacoma, WA 98409-7309 | 2018-12-27 |
| 1689935496 | Steven Brett Butler | Social Worker | 1504 Santa Rosa Rd, Suite 200, Richmond, VA 23229-5109 | 2012-06-07 |
| 1023396553 | Steven M. Butler | Pharmacist | 6150 14th St W, Bradenton, FL 34207-4622 | 2011-08-02 |
| 1497988364 | Steven M Butler I | Counselor | 6147 Sutter Ave, Carmichael, CA 95608-2738 | 2009-08-26 |
| 1740226935 | Steven A Butler | Otolaryngology | 2900 12th Ave N, Suite 350w, Billings, MT 59101-7506 | 2006-06-22 |
| 1174514228 | Steven C Butler | Internal Medicine | 2002 Brookside Dr, Suite 102, Kingsport, TN 37660-4634 | 2005-10-28 |
| Street Address |
7845 CARNEGIE BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245240399 | Michael J Stronczek | Dentist | 7845 Carnegie Blvd, Fort Wayne, IN 46804-5792 | 2006-08-09 |
| 1033366711 | Lucas S Reed | Dentist | 7845 Carnegie Blvd, Fort Wayne, IN 46804-5792 | 2008-08-25 |
| 1376701045 | James Terrence O'neill | Dentist | 7845 Carnegie Blvd, Fort Wayne, IN 46804 | 2008-05-29 |
| 1831264324 | Oral & Maxillofacial Surgery Associates PC | Oral & Maxillofacial Surgery | 7845 Carnegie Blvd, Fort Wayne, IN 46804 | 2006-11-21 |
| 1538179684 | Steven R Schimmele | Dentist | 7845 Carnegie Blvd, Fort Wayne, IN 46804-5792 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831264324 | Oral & Maxillofacial Surgery Associates PC | Oral & Maxillofacial Surgery | 7845 Carnegie Blvd, Fort Wayne, IN 46804 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295041093 | Central Indiana Oral Surgery and Implantology | Oral & Maxillofacial Surgery | 272 Medical Dr., Carmel, IN 46032 | 2010-08-31 |
| 1386762318 | Bloomington Oral & Maxillofacial Surgery Group | Oral & Maxillofacial Surgery | 637 S Walker Street, Suite 1, Bloomington, IN 47403-2154 | 2007-03-27 |
| 1083757355 | Carrie A. Klene | Oral & Maxillofacial Surgery | 715 W Carmel Dr Ste 102, Carmel, IN 46032-5881 | 2007-02-15 |
| 1689743809 | Rodney P Swantko | Oral & Maxillofacial Surgery | 9250 Columbia Avenue, Suite D 1, Munster, IN 46321 | 2006-11-06 |
| 1114007838 | Micheal J Deady Dds Inc | Oral & Maxillofacial Surgery | 1630 Poplar St, Terre Haute, IN 47807 | 2006-10-17 |
| 1134213796 | Tristan Vaun Stonger | Oral & Maxillofacial Surgery | 1 S Broadway, Peru, IN 46970-2231 | 2006-10-03 |
| 1558789891 | William Gardner Moll | Oral & Maxillofacial Surgery | 601 W Us Highway 30, Schererville, IN 46375-2656 | 2014-04-03 |
| 1205998739 | John Craig Cook | Oral & Maxillofacial Surgery | 1919 State St, Ste 407, New Albany, IN 47150 | 2006-12-14 |
| 1366512972 | Michael Joseph Deady | Oral & Maxillofacial Surgery | 1630 Poplar St, Terre Haute, IN 47807 | 2006-11-09 |
| 1588733703 | Munster Oral Surgery Inc | Oral & Maxillofacial Surgery | 9250 Columbia Avenue, Suite D 1, Munster, IN 46321 | 2006-11-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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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.