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

Individual provider General Practice Dentistry · NPI 1164834628

Keisha Monique Butler, DDS is a General Practice Dentistry in Bronx, New York. Works from 2 locations. Licensed in Missouri and New York.

Licensed in
MO, NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

85 W Burnside Ave
Bronx, NY 10453-4015
Phone: (718) 716-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1101 N Providence Rd, Columbia, MO 65203-4365 — (573) 777-8997

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 058135 (NY)
General Practice Dentistry Taxonomy 1223G0001X · Licence 2017012302 (MO)

Record details

NPI number1164834628
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 2, 2014
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020

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