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

Daniel R Boettcher, DDS

Individual provider Dentist · NPI 1801889043

Daniel R Boettcher, DDS is a Dentist in Manitowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1503 Randolph Ct
Manitowoc, WI 54220-8345
Phone: (920) 682-0321
Fax: (920) 682-3128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4609 (WI)

Record details

NPI number1801889043
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 23, 2005
Last updated in NPPESJuly 8, 2007
Mailing address1503 Randolph Ct, Manitowoc, WI 54220-8345

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