Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Botts Dental Spa PC

Organization General Practice Dentistry · NPI 1508007717

Botts Dental Spa PC provides 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 Not confirmed with CMS for 17 years — call before visiting
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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