BOTTS DENTAL SPA PC
NPI 1508007717
Clinic/Center - Dental in Cordova, TN

Q: What is Botts Dental Spa PC's NPI number?

The NPI number for Botts Dental Spa PC is 1508007717. It was assigned to this organization in the NPPES registry on March 18, 2009.

Q: What is Botts Dental Spa PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since March 18, 2009

1055 N. HOUSTON LEVEE RD., SUITE 102, CORDOVA, TN 38018(901) 737-2200(901) 737-2277 Get Directions Write a Review

NPPES record last updated: November 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Botts Dental Spa Pc NPPES

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

BOTTS DENTAL SPA PC (NPI 1508007717) is a healthcare organization registered as a dental in Cordova, Tennessee and active in the NPI registry since March 2009. The organization lists Jason Bryce Botts, President/owner, as its authorized official.

NPPES Registry Identity

NPI1508007717

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameBOTTS DENTAL SPA PC

Location Address1055 N. HOUSTON LEVEE RD., SUITE 102Cordova, TN 38018-6689

Mailing Address1055 N. Houston Levee Rd., Suite 102Cordova, TN 38018-6689 · (901) 737-2200 · Fax (901) 737-2277

Phone(901) 737-2200

Fax(901) 737-2277

Organization SubpartNo

Authorized OfficialJason Bryce BottsPresident/owner · (901) 737-2200

Enumeration DateMarch 18, 2009

Last NPPES UpdateNovember 6, 2009

✔ NPI 1508007717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in TN · DS0000008754

Also ListedDentist · General PracticeTaxonomy 1223G0001X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License BB9917824

1055 N. HOUSTON LEVEE RD., Cordova, TN 38018

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Botts Dental Spa PC's NPI number?

The NPI number for Botts Dental Spa PC is 1508007717. It was assigned to this organization in the NPPES registry on March 18, 2009.

Where is Botts Dental Spa PC located?

Botts Dental Spa PC is located at 1055 N. Houston Levee Rd. Suite 102, Cordova, TN 38018. The listed phone number is (901) 737-2200.

What is Botts Dental Spa PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Botts Dental Spa PC was last updated on November 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.