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

DR. JASON BRYCE BOTTS, DDS

Active Sole Proprietor

DR. JASON BRYCE BOTTS, DDS is a General Dentistry healthcare provider located in CORDOVA, Tennessee. NPI 1356417687 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · CORDOVA, TN

Registration Details

NPI Number
1356417687
Provider Type
Individual
Gender
Male
NPI Issued
Nov 28, 2006 (19.725941311282 yrs)
Last Updated
Apr 23, 2009
Licenses
3586 (AR)
DS0000008754 (TN)
Sole Proprietor
Yes

Practice Information

Address
1055 N HOUSTON LEVEE RD
SUITE 102
CORDOVA, TN, 380186693
Browse TN providers · Browse ZIP 38018
Phone
9017372200
Fax
9017372277
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in CORDOVA, TN

Name Credential NPI
DR. VEENA V AMMAL DDS 1437147337
DR. PAUL WILBUR GERHARDT DDS 1114997160
DR. PATRICK E MCGEE D.D.S 1376514356
DR. JOHN DANIEL THOMAS JR. DDS 1699796995
DR. SIDNEY TRUMAN FLETCHER DDS 1104931534
DR. MARK MACGAW D.D.S. 1912012097
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.