Provider Demographics
NPI:1316730484
Name:BUTTS, AMY ELIZA (DDS)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:ELIZA
Last Name:BUTTS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:266 E EAGLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:84054-2584
Mailing Address - Country:US
Mailing Address - Phone:435-668-3694
Mailing Address - Fax:
Practice Address - Street 1:793 E WINCHESTER ST
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-7564
Practice Address - Country:US
Practice Address - Phone:801-281-9517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1422399299261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice