| Botts Dental Spa Pc | |
|
1055 N. Houston Levee Rd. Suite 102 Cordova TN 38018-6689 | |
| (901) 737-2200 | |
| (901) 737-2277 |
| Full Name | Botts Dental Spa Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1055 N. Houston Levee Rd., Cordova, Tennessee |
| Authorized Official Name and Position | Jason Bryce Botts (PRESIDENT/OWNER) |
| Authorized Official Contact | 9017372200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Botts Dental Spa Pc 1055 N. Houston Levee Rd. Suite 102 Cordova TN 38018-6689 Ph: (901) 737-2200 | Botts Dental Spa Pc 1055 N. Houston Levee Rd. Suite 102 Cordova TN 38018-6689 Ph: (901) 737-2200 |
| NPI Number | 1508007717 |
|---|---|
| Provider Enumeration Date | 03/18/2009 |
| Last Update Date | 11/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508007717 | NPI | - | NPPES |
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