Active NPIIndividual providerSole proprietor

Dr. Shirley Botchway-Manu, DMD

Dentist, General Practice in West Orange, New Jersey

NPI Number1114137940
Practice location
470 Prospect Ave, Suite 301, West Orange, NJ 07052-4153
Fax
973-324-0180
Last updated
July 8, 2007

Shirley Botchway-Manu is a Dentist, General Practice based in West Orange, NJ. Shirley Botchway-Manu practices in West Orange, NJ and has the professional credentials of DMD. The NPI Number for Shirley Botchway-Manu is 1114137940 and holds a License No. DI 18979 (NJ). The current practice location address for Shirley Botchway-Manu is 470 Prospect Ave, Suite 301, West Orange, NJ 07052-4153 and can be reached out via phone at 973-324-0660 and via fax at 973-324-0180.

Provider Profile Details

NPI Number
1114137940
Provider Name
Shirley Botchway-Manu
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
470 Prospect Ave, Suite 301, West Orange, NJ 07052-4153
Phone Number
973-324-0660
Fax Number
973-324-0180
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
May 23, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
470 Prospect Ave
Suite 301
West Orange, NJ 07052-4153
Zip
07052-4153
Phone Number
973-324-0660
Fax Number
973-324-0180
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
470 Prospect Ave
Suite 301
West Orange, NJ 07052-4153
City
West Orange
State
NJ
Zip
07052-4153
Phone Number
973-324-0660
Fax Number
973-324-0180

License Information

License Number
DI 18979
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Shirley Botchway-Manu, DMD?

The NPI number of Dr. Shirley Botchway-Manu, DMD is 1114137940. It was assigned on May 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Shirley Botchway-Manu, DMD?

Dr. Shirley Botchway-Manu, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI 18979.

Where does Dr. Shirley Botchway-Manu, DMD practice?

The practice location is 470 Prospect Ave, Suite 301, West Orange, NJ 07052-4153. The office can be reached at 973-324-0660 (phone) or 973-324-0180 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114137940 directly on the NPPES registry website.

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