IndividualActive
Charles Buttram, D.D.S.
NPI 1629114384 · General Practice Dentistry · Raton, NM
Provider details
- NPI number
- 1629114384
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1059 (NM)
Specialties & taxonomies
Dental Providers
Practice location
162 Hospital Dr
Raton, NM 87740-2002
Phone: (505) 445-3596
Approximate (ZIP-level) locationGet directions
Mailing address
162 Hospital Dr
Raton, NM 87740-2002
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.