Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Botts Dental Spa PC

Organization General Practice Dentistry · NPI 1508007717

Botts Dental Spa PC is a General Practice Dentistry in Cordova, Tennessee. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1055 N Houston Levee Rd Ste 102
Cordova, TN 38018-6689
Phone: (901) 737-2200
Fax: (901) 737-2277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence DS0000008754 (TN)
General Practice Dentistry Taxonomy 1223G0001X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence BB9917824

Record details

NPI number1508007717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Botts — President/Owner · (901) 737-2200
NPI enumeratedMarch 18, 2009
Last updated in NPPESNovember 6, 2009
Mailing address1055 N. Houston Levee Rd., Suite 102, Cordova, TN 38018-6689

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