MEDICARE: KURT A. BUTZIN, D.D.S, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2901012896	MI

General Provider Information

NPI Number	:	1407915994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KURT A. BUTZIN, D.D.S, P.C.

Provider Business Mailing Address
First Line	:	1936 BAY ST
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48602-3924
Country	:	US
Telephone Number	:	989-792-9441
Fax Number	:	989-792-9158

Provider Business Practice Location Address
First Line	:	1936 BAY ST
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48602-3924
Country	:	US
Telephone Number	:	989-792-9441
Fax Number	:	989-792-9158

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KURT A BUTZIN
Credential	:	D.D.D.
Telephone Number	:	989-792-9441

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	08/22/2020

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