Dr. Patricia Elizabeth Botero, DMD
Dentist in Naples, FL. Individual provider (NPI-1).
NPI number1366763526
StatusActive
Last updated in NPPESApr 20, 2015
Details
- NPI
- 1366763526
- Entity type
- Individual (NPI-1)
- Name
- Dr. Patricia Elizabeth Botero
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2010
- Last updated
- Apr 20, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN19068 | FL | Yes |
Practice location
3384 Tamiami Trl EDenture And Dental Center/ Gulfside Dental
Naples, FL 34112-4931
Phone 239-774-3017
Mailing address
3384 Tamiami Trl EDenture And Dental Center/ Gulfside Dental
Naples, FL 34112-4931
Phone 239-774-3017
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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