MEDICARE: DR. PIERRE JACQUES BOTES DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DS039538	PA

General Provider Information

NPI Number	:	1124468541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PIERRE JACQUES BOTES DMD

Provider Business Mailing Address
First Line	:	411 HYDE PARK
Second Line	:
City	:	DOYLESTOWN
State	:	PA
Zip	:	18902-6619
Country	:	US
Telephone Number	:	215-345-7700
Fax Number	:	215-230-4978

Provider Business Practice Location Address
First Line	:	411 HYDE PARK
Second Line	:
City	:	DOYLESTOWN
State	:	PA
Zip	:	18902-6619
Country	:	US
Telephone Number	:	215-345-7700
Fax Number	:	215-230-4978

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2013
Last Update Date	:	10/03/2019

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