Bott, Bryce John
Bott, Bryce John is an individual health care provider with primary practice located at 745 N 500 W Ste 103 , Provo UT 84601-1475. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Bott, Bryce John can be contacted via phone (801) 373-4200.Contact Information
Primary practice address
745 N 500 W Ste 103
Provo UT 84601-1475
Phone: (801) 373-4200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 138 | Nebraska |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 9813262-9923 | Utah |
Profile Details
| NPI number | 1811446727 |
|---|---|
| LBN Legal business name | Bott, Bryce John |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2016 |
| Last updated | Jan 9th, 2020 - about 5 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.
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