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Deactivated NPI 1972675379 Deactivated / Inactive NPI Male Practitioner

Dr. Bob Burnett Butler , DDS

Dentist - General Practice • Brunswick, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bob Butler has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 14, 2006
NPI Deactivation Date June 14, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Bob Butler, DDS was a registered Dentist - General Practice practicing in Brunswick, GA. Throughout an active medical career spanning 12 years, Dr. Butler provided care at the practice location at 1604 GLOUCESTER ST until profile deactivation on 2018-06-14.

Practice Location & Contact Primary Location

Practice Address

1604 Gloucester St

Brunswick, GA 315207145

Telephone 9122646270
Fax 9122646125

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brunswick, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
20 Specialists

Practicing in Brunswick, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA 7530

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 14, 2018

Record deactivated on June 14, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1604 GLOUCESTER ST, BRUNSWICK, GA 315207145 (Tel: 9122646270)

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Updated Business Mailing Address July 08, 2007

Registered at 1604 GLOUCESTER ST, BRUNSWICK, GA 315207145 (Tel: 9122646270)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BOB BUTLER, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #7530 in GA)

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Initial NPI Registration & Enumeration November 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972675379
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2006
Last Update: July 08, 2007
Deactivation Date: June 14, 2018

Mailing Address

1604 Gloucester St

Brunswick, GA 315207145

Phone: 9122646270

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.