BOTTS DENTAL SPA PC NPI 1508007717

NPI Information

  • NPI: 1508007717
  • Provider Name: BOTTS DENTAL SPA PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1055 N. HOUSTON LEVEE RD.
    SUITE 102
    CORDOVA, TN
    ZIP 38018
  • Phone: (901) 737-2200

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NPI Details

BOTTS DENTAL SPA PC is a dental clinic center in Cordova, TN. BOTTS DENTAL SPA PC NPI is 1508007717. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1055 N. HOUSTON LEVEE RD.
SUITE 102
CORDOVA, TN
ZIP 38018-689
Phone: (901) 737-2200
Fax: (901) 737-2277

The provider's authorized official is Jason Bryce Botts .
The authorized official title is President/owner and has the following contact phone number (901) 737-2200.

The enumeration date for this NPI number is 3/18/2009 and was last updated on 11/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeNo
2332B00000XDurable Medical Equipment & Medical SuppliesBB9917824No
3261QD0000XClinic/CenterDentalDS0000008754TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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