Jason Bryce Botts in Cordova - General Practice
Jason Bryce Botts - NPI 1356417687
Jason Bryce Botts is a General Practice in Cordova, Tennessee. Jason Bryce Botts practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jason Bryce Botts is 1356417687. The last update date is 2009-04-23.
Jason Bryce Botts's current location address is 1055 N Houston Levee Rd, Cordova, Tennessee. You can contact this provider via phone number 9017372200 and fax number 9017372277. The mailing address for Jason Bryce Botts is 1055 N Houston Levee Rd, Cordova, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Bryce Botts |
|---|---|
| Address | 1055 N Houston Levee Rd, Cordova, Tennessee |
| Phone Number | 9017372200 |
| Fax Number | 9017372277 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1356417687 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2009-04-23 |
Provider Mailing Address Detail
| Address | 1055 N Houston Levee Rd |
|---|---|
| City | Cordova |
| State | Tennessee (TN) |
| Post Code | 380186693 |
| Phone Number | 9017372200 |
| Fax Number | 9017372277 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS0000008754 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 161133608 | AR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jason Bryce Botts?
The Jason Bryce Botts has been issued the NPI (National Provider Identifier) 1356417687 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jason Bryce Botts is located?
The Jason Bryce Botts is situated at the following address: 1055 N Houston Levee Rd, Cordova, TN, 380186693.
What is the Jason Bryce Botts's specialty and taxonomy code?
The Jason Bryce Botts's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Jason Bryce Botts receive the assignment of its 1356417687 from the Centers for Medicare & Medicaid Services?
The Jason Bryce Botts was issued its 1356417687 by the Centers for Medicare & Medicaid Services on 2006-11-28.
As of what date were the Jason Bryce Botts's details last updated?
The information pertaining to the Jason Bryce Botts, including its address, specialty, and other details, was most recently updated on 2009-04-23.
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