Active NPIIndividual provider

Samuel Botros, DDS

Dentist in Bayonne, New Jersey

NPI Number1831477645
Practice location
711 Avenue C, Bayonne, NJ 07002-5833
Fax
—
Last updated
June 30, 2022

Samuel Botros is a Dentist based in Bayonne, NJ. Samuel Botros practices in Bayonne, NJ and has the professional credentials of DDS. The NPI Number for Samuel Botros is 1831477645 and holds a License No. 38836 (PA). The current practice location address for Samuel Botros is 711 Avenue C, Bayonne, NJ 07002-5833 and can be reached out via phone at 201-437-3500.

Provider Profile Details

NPI Number
1831477645
Provider Name
Samuel Botros
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
711 Avenue C, Bayonne, NJ 07002-5833
Phone Number
201-437-3500
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
July 27, 2011
Last Update Date
June 30, 2022
Certification Date
June 30, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
711 Avenue C
Bayonne, NJ 07002-5833
Zip
07002-5833
Phone Number
201-437-3500
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
711 Avenue C
Bayonne, NJ 07002-5833
City
Bayonne
State
NJ
Zip
07002-5833

License Information

License Number (1)
38836
License State (1)
PA
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
22DI02556100
License State (2)
NJ
Taxonomy (2)
Dentist · 122300000X · 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 Samuel Botros, DDS?

The NPI number of Samuel Botros, DDS is 1831477645. It was assigned on July 27, 2011 and is currently active in the NPPES registry.

What is the specialty of Samuel Botros, DDS?

Samuel Botros, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in PA under license number 38836.

Where does Samuel Botros, DDS practice?

The practice location is 711 Avenue C, Bayonne, NJ 07002-5833. The office can be reached at 201-437-3500 (phone).

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 1831477645 directly on the NPPES registry website.

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