Bottke, David P

Bottke, David P is an sole proprietor health care provider with primary practice located at 2717 Orchard Dr , Cedar Falls IA 50613-5860. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bottke, David P can be contacted via phone (319) 277-3535.

Contact Information

Primary practice address
2717 Orchard Dr Cedar Falls IA 50613-5860
Fax: (319) 277-7846
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6777 Iowa

Profile Details

NPI number 1891883807
LBN Legal business name Bottke, David P
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891883807 NPPES
Iowa MEDICAID 0194555

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