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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ANDREA J BOTAR, D.D.S.

Deactivated Sole Proprietor

DR. ANDREA J BOTAR, D.D.S. is a Dentist healthcare provider located in HEWLETT, New York. NPI 1295016905 is deactivated in the NPPES registry. Verify at CMS.

Dentist · HEWLETT, NY

This NPI has been deactivated. The record was deactivated on October 6, 2011. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1295016905
Provider Type
Individual
Gender
Female
NPI Issued
Sep 8, 2011 (0.076502732240437 yrs)
Last Updated
Sep 8, 2015
Deactivated
Oct 6, 2011
License
043726 (NY)
Sole Proprietor
Yes

Practice Information

Address
1575 BROADWAY
HEWLETT, NY, 115571457
Browse NY providers · Browse ZIP 11557
Phone
5167108547
Fax
5167643062
Primary Specialty
Dentist
122300000X

Other Dentist Providers in HEWLETT, NY

Name Credential NPI
DR. CHANA PERL D.D.S. 1609811074
DR. NANDA DALEO DDS 1891703807
DR. RON N KAMINER DDS 1366547044
DR. JUDD LESSER D.D.S 1619022498
DR. RANAN CHAIM WOLFF DDS 1265631600
DR. BURT R. KREISMAN DDS 1740458884
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.