Botnick, Victor
Botnick, Victor is an individual health care provider with primary practice located at 1126 Saddle River Rd , Fair Lawn NJ 07410. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Botnick, Victor can be contacted via phone (201) 791-8388.Contact Information
Primary practice address
1126 Saddle River Rd
Fair Lawn NJ 07410
Phone: (201) 791-8388
Fax: (201) 791-8311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D0108802 | New Jersey |
Profile Details
| NPI number | 1174658538 |
|---|---|
| LBN Legal business name | Botnick, Victor |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174658538 | NPPES |
| New Jersey | MEDICAID | 0011339 |
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