DR. MARK WILLIAM BOTTORFF DDS
NPI 1528270634
Dentist - Dentist Anesthesiologist in Liberty Lake, WA

Q: What is Mark Bottorff's NPI number?

The NPI number for Mark Bottorff is 1528270634. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Q: What is Mark Bottorff's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

Q: When was this NPI record last updated?

The NPPES record for Mark Bottorff was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since May 03, 2007

323 S. GREENRIDGE DR., LIBERTY LAKE, WA 99019(509) 808-9766(509) 891-8999 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mark William Bottorff Dds NPPES

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

DR. MARK WILLIAM BOTTORFF DDS (NPI 1528270634) is an individual dentist anesthesiologist in Liberty Lake, Washington, licensed in Washington (DE00009793) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1528270634

Entity TypeIndividualMale

Primary Taxonomy1223D0004X

Provider Legal NameDR. MARK WILLIAM BOTTORFFCredential: DDS

Location Address323 S. GREENRIDGE DR.Liberty Lake, WA 99019

Mailing Address1324 N. Liberty Lake Rd, Ste 345Liberty Lake, WA 99019 · (509) 808-9766 · Fax (509) 891-8999

Phone(509) 808-9766

Fax(509) 891-8999

Sole ProprietorNo

Enumeration DateMay 3, 2007

Last NPPES UpdateAugust 4, 2025

✔ NPI 1528270634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers

Taxonomy Code1223D0004X

Licenses✔ Licensed in WA · DE00009793✔ Licensed in WA · GA10000366

Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

323 S. GREENRIDGE DR., Liberty Lake, WA 99019

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Other Identifiers 1

Medicaid20069362WA

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 Mark Bottorff's NPI number?

The NPI number for Mark Bottorff is 1528270634. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Mark Bottorff located?

Mark Bottorff practices at 323 S. Greenridge Dr., Liberty Lake, WA 99019. The listed phone number is (509) 808-9766.

What is Mark Bottorff's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Mark Bottorff was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.