Carl Botvinick, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

9345 Issued in MI

Practice address

2335 Pontiac Lake Rd
Waterford, MI 48328-2761

Phone

(248) 683-2300

Fax

(248) 683-2597

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Endodontic Associates of Michigan PLLC

  • Endodontics
  • Waterford, MI
  • NPI 1164479101
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649210675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 PONTIAC LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282761",
            "telephone_number": "248-683-2300",
            "fax_number": "248-683-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 PONTIAC LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282761",
            "telephone_number": "248-683-2300",
            "fax_number": "248-683-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTVINICK",
        "first_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "9345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Carl Bolten, DDS
• Ethan Glenn Bond
• James Anthony Boniface, LLPC, NCC
• Bormans Inc (Farmer Jack Pharmacy)
• Emily Bosnack, LMSW
• Alisa Boucher, MS
• Marwan Boulis, MD
• Bow Tie Orthodontics
• Julie Tricia Bowles, RN
• Timothy Kristofer Bradner, PHARM.D.

• Endodontics in Waterford, MI
• Providers in Waterford, MI by specialty
• Endodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.