# SAMUEL BOTROS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831477645
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02556100 | NJ | Yes |
| 1223G0001X | General Practice Dentistry | 38836 | PA | — |

## Other

- **Enumeration date:** 07/27/2011
- **Last updated:** 06/30/2022