Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356417687 Individual Practitioner Male Practitioner

Dr. Jason Bryce Botts , DDS

Dentist - General Practice • Cordova, TN

Professional Overview & Biography Verified Profile Summary

Dr. Jason Botts, DDS is a registered healthcare professional specializing in Dentist - General Practice in Cordova, TN. Practice services are available at 1055 N HOUSTON LEVEE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1055 N Houston Levee Rd
Suite 102

Cordova, TN 380186693

Telephone 9017372200
Fax 9017372277
Associated Practice Facility / Clinic
🏢 Botts Dental Spa Pc Facility NPI 1508007717

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cordova, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
26 Specialists

Practicing in Cordova, TN (2175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TN DS0000008754

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License AR 3586

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
161133608 (AR)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 23, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2009

Registered at 1055 N HOUSTON LEVEE RD, SUITE 102, CORDOVA, TN 380186693 (Tel: 9017372200)

📍
Updated Business Mailing Address April 23, 2009

Registered at 1055 N HOUSTON LEVEE RD, SUITE 102, CORDOVA, TN 380186693 (Tel: 9017372200)

👤
Provider Name / Credentials Updated April 23, 2009

Recorded as JASON BOTTS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2009

Dentist (License #3586 in AR)

🟢
Initial NPI Registration & Enumeration November 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356417687
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2006
Last Update: April 23, 2009
Sole Proprietor: Yes

Mailing Address

1055 N Houston Levee Rd, Suite 102

Cordova, TN 380186693

Phone: 9017372200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.