National Provider Identifier

Manuel Alejandro Botana, DDS

Manuel Alejandro Botana, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 467-4513.

NPI 1053481143Rochester, NYGeneral Practice Dentistry

Profile Overview

NPI
1053481143
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
November 08, 2006
Last Updated
July 26, 2013

Practice Location

  • 295 Monroe Ave
  • Rochester, NY 14607-3660

Phone: (585) 467-4513

Mailing Address

  • 105 Willowood Dr
  • Rochester, NY 14612-3211

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1053481143
Entity Type
Individual
Last Name
Botana
First Name
Manuel
Middle Name
Alejandro
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
105 Willowood Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14612-3211
Mailing Country
US
Mailing Phone
(585) 467-4513
Mailing Fax
(585) 467-4665
Practice Street Address
295 Monroe Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-3660
Practice Country
US
Practice Phone
(585) 467-4513
Practice Fax
(585) 467-4665
Enumeration Date
November 08, 2006
Last Updated
July 26, 2013
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)
Other Identifiers
NSD (NY)