Individual provider · Type 1 NPI

Jack George Soliman Botros, DDS, MS

Orofacial Pain Dentistry · Minneapolis, MN

NPI number 1912721150 Active

Practice location

515 Delaware St SE Rm 6-440K
Minneapolis, MN 55455-0357

Call (213) 272-7573 Map

Other practice locations

740 S Limestone, Ste E214, Lexington, KY 40536-0284 · (859) 323-5500

Specialties and licenses

Taxonomy	Code	License
Orofacial Pain Dentistry Primary	1223X2210X	D-00287 (KY)
Orofacial Pain Dentistry	1223X2210X	FF94 (MN)

Orofacial Pain Dentistry: A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain…

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About NPI 1912721150

Jack George Soliman Botros, DDS, MS's National Provider Identifier is 1912721150, issued on Nov 13, 2024. The primary taxonomy on file is Orofacial Pain Dentistry (1223X2210X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 2, 2026.