Dr. Henry Mordecai Botuck , DDS
Dentist - General Practice • Springfield, VA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Henry Botuck has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Henry Botuck, DDS was a registered Dentist - General Practice practicing in Springfield, VA. Throughout an active medical career spanning 15 years, Dr. Botuck provided care at the practice location at 7870 ROLLING WOODS CT until profile deactivation on 2022-05-17.
Practice Location & Contact Primary Location
7870 Rolling Woods Ct
#401
Springfield, VA 221523628
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Springfield, VA
Practicing in Springfield, VA (3535 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 17, 2022
NPI status registered as active in NPPES database
Registered at 7870 ROLLING WOODS CT, #401, SPRINGFIELD, VA 221523628 (Tel: 7039124775)
Registered at 7870 ROLLING WOODS CT, #401, SPRINGFIELD, VA 221523628 (Tel: 7039124775)
Recorded as HENRY BOTUCK, D.D.S
Dentist (License #0401002630 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
7870 Rolling Woods Ct, #401
Springfield, VA 221523628
Phone: 7039124775
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