Search › Pennsylvania › 208200000X
Samuel Botta, M.D
NPI 1780741157 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1187 Thorn Run Road
One Thorn Run Center
Coraopolis, PA 15108 - Phone
- (412) 262-1005
- Fax
- (412) 262-1006
- Organisation at this address
- Conquest Oral And Maxillofacial Surgery, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 208200000X
208200000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania