Organization · Type 2 NPI
Botts Dental Spa PC
Dental Clinic/Center · Cordova, TN
NPI number
1508007717
Active
Practice location
1055 N. Houston Levee Rd., Suite 102
Cordova, TN 38018-6689
Fax (901) 737-2277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | None listed |
| Dental Clinic/Center Primary | 261QD0000X | DS0000008754 (TN) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | BB9917824 |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Cordova
About NPI 1508007717
Botts Dental Spa PC's National Provider Identifier is 1508007717, issued on Mar 18, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Cordova, TN. The record was last updated on Nov 6, 2009.