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

Dr. Jack George Soliman Botros, DDS, MS

Individual provider Orofacial Pain Dentistry · NPI 1912721150

Dr. Jack George Soliman Botros, DDS, MS is an Orofacial Pain in Minneapolis, Minnesota. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2024
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.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

515 Delaware St SE Rm 6-440K
Minneapolis, MN 55455-0357
Phone: (213) 272-7573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orofacial Pain Dentistry (primary) Taxonomy 1223X2210X · Licence FF94 (MN)

Record details

NPI number1912721150
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorYes
NPI enumeratedNovember 13, 2024
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address515 Delaware St Se Rm 6-440k, Minneapolis, MN 55455-0357

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOROFACIAL PAIN
Also practisesDENTIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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