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

Dr. Kent T Botsford III

Individual provider General Practice Dentistry · NPI 1417041005

Dr. Kent T Botsford III is a General Practice Dentistry in Fond Du Lac, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

525 E Division St
Fond Du Lac, WI 54935
Phone: (920) 921-2860
Fax: (920) 921-4228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1223G0001X (WI)

Record details

NPI number1417041005
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007

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