DR. CECIL BOTTENBLEY


Address: 1776 Lincoln St, Suite #820, Denver, CO 80203-1022
Phone: 3038395639

DR. CECIL BOTTENBLEY (NPI# 1245384304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245384304
Entity Type Individual
Full Name DR. CECIL BOTTENBLEY
Credential D.M.D.
Practice Address 1776 Lincoln St
Suite #820
Denver
CO 80203-1022
Practice Telephone 3038395639
Enumeration Date 2007-01-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
6574 CO Dental Providers

Office Location

Street Address 1776 LINCOLN ST
SUITE #820
City DENVER
State CO
Zip Code 80203-1022

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NPI Name Taxonomy Address Enumeration
1821648999 Sara Desiree Martin Student in an Organized Health Care Education/Training Program 948 Logan St #1, Denver, CO 80203 2019-09-19
1821581471 Foot Tracks Physical Therapist 1120 N Lincoln St Ste 907, Denver, CO 80203 2018-06-08
1558870840 Rene C. Katial Registered Nurse Suncrest Hospice, 777 E. Speer Blvd, Denver, CO 80203 2017-09-29
1295253946 Katherine Longley Counselor 852 N Broadway Ste 200, Denver, CO 80203 2017-09-01
1679097125 Alyssa Miller Case Manager/Care Coordinator 745 Sherman St, Denver, CO 80203 2017-07-26
1861922817 Cara Jaffee Nutritionist 990 Logan St, Apt 701, Denver, CO 80203 2017-06-13
1285168583 State of Colorado Point of Service 1575 Sherman Street, Cdhs, Denver, CO 80203 2017-04-13
1205388931 Molly Dyer Acupuncturist 852 Broadway St., Ste. 200, Denver, CO 80203 2016-10-28
1164897997 Jennifer Holt Dietitian, Registered 1935 Pearl St, Apt 3430, Denver, CO 80203 2015-12-04
1073985131 Ashley Frances Nelson Social Worker 758 Sherman Street, Denver, CO 80203 2015-10-28
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679121404 James W Makowski Dds PC Dentist 1220 S Parker Rd Ste 104, Denver, CO 80231-2166 2019-08-26
1932692589 Glendale Oral Surgery PC Dentist 3955 E Exposition Ave Ste 520, Denver, CO 80209-5030 2018-06-08
1407215205 John P Evanson Dentist 839 Kearney St, Denver, CO 80220-4523 2016-02-22
1003220260 Michael Woodbeck Dentist 1707 Chestnut Pl Apt 621, Denver, CO 80202-6505 2014-06-16
1568752426 Michael K. Rollert, Dds, LLC Dentist 2372 S Humboldt St, Denver, CO 80210-5113 2011-04-13
1326277906 John Robert Nesiba Dentist 13701 E Mississippi Ave Ste 300, Denver, CO 80012 2009-07-05
1609027556 Brian Fangman Dentist 1440 Blake St Ste 100, Denver, CO 80202-1475 2008-10-08
1790942829 Anne Lorraine Stearns Dentist 1900 Little Raven St Apt 412, Denver, CO 80202-7173 2008-05-16
1477621845 Michael P Cosby Dentist 180 Adams St Ste 100, Denver, CO 80206-5222 2006-12-01
1366553596 Martin S Siparsky Dentist 155 Cook St Ste 241, Denver, CO 80206-5316 2006-08-31
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Competitor

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City DENVER
Zip Code 80203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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