National Provider Identifier
Jeremy Debottis
Jeremy Debottis is listed in the NPPES registry with a primary specialty of Dentist in Orchard Park, NY and a listed phone number of (716) 636-8686.
Profile Overview
- NPI
- 1679721922
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- August 28, 2008
- Last Updated
- August 28, 2008
Practice Location
- 3326 Southwestern Blvd
- Orchard Park, NY 14127
Phone: (716) 636-8686
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1679721922
- Entity Type
- Individual
- Last Name
- Debottis
- First Name
- Jeremy
- Mailing Street Address
- 3326 Southwestern Blvd
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127
- Mailing Country
- US
- Mailing Phone
- (716) 636-8686
- Practice Street Address
- 3326 Southwestern Blvd
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127
- Practice Country
- US
- Practice Phone
- (716) 636-8686
- Enumeration Date
- August 28, 2008
- Last Updated
- August 28, 2008
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)