Healthcare Provider Details

I. General information

NPI: 1053229369
Provider Name (Legal Business Name): CLAIRE MARCEL BOTTOMS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5820 WALZEM RD
WINDCREST TX
78218-2109
US

IV. Provider business mailing address

309 IRVINGTON DR
SAN ANTONIO TX
78209-4221
US

V. Phone/Fax

Practice location:
  • Phone: 210-375-3395
  • Fax:
Mailing address:
  • Phone: 361-534-8121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number42830
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: