IndividualActive
Kendra Butcher, DENTAL ASSISTANT
NPI 1316434277 · Dental Assistant · Fort Leonard Wood, MO
Provider details
- NPI number
- 1316434277
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- DENTAL ASSISTANT
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
5047 Virginia Ave Bldg 500
Fort Leonard Wood, MO 65473-9126
Phone: (573) 596-0408
Fax: (573) 596-0314
Approximate (ZIP-level) locationGet directions
Mailing address
6958 Nebraska Ave Bldg 1608
Fort Leonard Wood, MO 65473-1618
Registry dates
- Enumerated
- 2018-04-17
- Last updated
- 2018-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.