Juan Botero-Giraldo

Primary specialty

DentistTaxonomy code 122300000X

License

D.007543-C1 Issued in AL

Practice address

3400 Montgomery Hwy Ste 1
Dothan, AL 36303-1270

Phone

(334) 803-8700

NPI assigned

Jul 11, 2023

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southeast Dental Works LLC

  • General Practice Dentistry
  • Dothan, AL
  • NPI 1568056257
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2025.

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1265111900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 GRANTON AVE APT 6L",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070473326",
            "telephone_number": "551-497-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MONTGOMERY HWY STE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031270",
            "telephone_number": "334-803-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTERO-GIRALDO",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D.007543-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Baumann Bonney, M.ED., BCBA, LBA
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• Adam L Borcik, RPT
• Filippo Borsellino, PA
• Kara Lane Bortz, PT, DPT
• Angela Lynne Bott, DO
• Cortney Parrish Bourkard, NP
• Bowen Pharmacy LLC
• George C Bowen Jr.
• Ashley H Bowers, O.D.

• All providers in Dothan, AL
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.