# WAYNE W. BOTKIN, JR. DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639301468
- **Authorized official:** KRISTI ST. ANGE (OFFICE MANAGER)
- **Authorized official phone:** (480) 314-2700

## Contact information

- **Practice address:** 9180 E DESERT COVE DR, SUITE 101, SCOTTSDALE, AZ 85260-6254
- **Practice address phone:** (480) 314-2700
- **Practice address fax:** (480) 314-2701
- **Mailing address:** 9180 E DESERT COVE DR, SUITE 101, SCOTTSDALE, AZ 85260-6254
- **Mailing address phone:** (480) 314-2700
- **Mailing address fax:** (480) 314-2701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2444 | AZ | Yes |

## Other

- **Enumeration date:** 08/12/2009
- **Last updated:** 08/12/2009