Healthcare Provider Details

I. General information

NPI: 1972159002
Provider Name (Legal Business Name): BUTTERFOSS BARTON & PAPPAS ORTHODONTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2019
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 GEORGE WASHINGTON MEM HWY
GRAFTON VA
23692-2880
US

IV. Provider business mailing address

4310 GEORGE WASHINGTON MEM HWY
GRAFTON VA
23692-2880
US

V. Phone/Fax

Practice location:
  • Phone: 757-898-5448
  • Fax: 757-898-4187
Mailing address:
  • Phone: 757-898-5448
  • Fax: 757-898-4187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER BARTON
Title or Position: DOCTOR/OWNER
Credential: DMD
Phone: 757-898-5448