Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Clinton Bissell Butler III, DMD

Individual provider Dentist · NPI 1780160556

Dr. Clinton Bissell Butler III, DMD is a Dentist in Great Lakes, Illinois. Licensed in South Carolina. Registered with an NPI since 2018.

Licensed in
SC
In the registry since
2018
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2410 Sampson St
Great Lakes, IL 60088-2942
Phone: (847) 688-3331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9171 (SC)

Record details

NPI number1780160556
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 16, 2018
Last updated in NPPESJuly 16, 2018

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