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DR. KENT T BOTSFORD III
NPI 1417041005
Dentist - General Practice in Fond Du Lac, WI

Active since October 03, 2006
525 EAST DIVISION STREET, FOND DU LAC, WI 54935(920) 921-2860(920) 921-4228 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kent T Botsford Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENT T BOTSFORD III (NPI 1417041005) is an individual general practice provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (1223G0001X) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1417041005
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENT T BOTSFORD III
Location Address525 EAST DIVISION STREETFond Du Lac, WI 54935
Mailing Address525 East Divison StreetFond Du Lac, WI 54935 · (920) 921-2860 · Fax (920) 921-4228
Phone(920) 921-2860
Fax(920) 921-4228
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417041005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 1223G0001X
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.
525 EAST DIVISION STREET, Fond Du Lac, WI 54935
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kent Botsford's NPI number?

The NPI number for Kent Botsford is 1417041005. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Kent Botsford located?

Kent Botsford practices at 525 East Division Street, Fond Du Lac, WI 54935. The listed phone number is (920) 921-2860.

What is Kent Botsford's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kent Botsford was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.