Botts Dental Spa Pc

LBN: Botts Dental Spa Pc
Botts Dental Spa Pc is an health care organization with primary practice located at 1055 N. Houston Levee Rd. Suite 102, Cordova TN 38018-6689. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Botts Dental Spa Pc can be contacted via phone (901) 737-2200, or through Botts, Jason Bryce via phone (901) 737-2200.

Contact Information

Primary practice address
1055 N. Houston Levee Rd. Suite 102 Cordova TN 38018-6689
Phone: (901) 737-2200
Fax: (901) 737-2277
Website:
Map and Directions
Authorized official contact:
Name: Botts, Jason Bryce Doctor of Dental Surgery (DDS)
Phone: (901) 737-2200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Ambulatory Health Care Facilities / Dental 261QD0000X DS0000008754 Tennessee
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X BB9917824

Profile Details

NPI number 1508007717
LBN Legal business name Botts Dental Spa Pc
DBA Doing business as
Authorized official Botts, Jason Bryce Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2009
Last updated Nov 6th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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