IndividualActive
Mark Bottorff, DDS
NPI 1528270634 · Dental Anesthesiology · Liberty Lake, WA
Provider details
- NPI number
- 1528270634
- Entity type
- Individual
- Primary specialty
- Dental AnesthesiologyDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- GA10000366 (WA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
323 S. Greenridge Dr.
Liberty Lake, WA 99019
Phone: (509) 808-9766
Fax: (509) 891-8999
Street-level locationGet directions
Mailing address
1324 N. Liberty Lake Rd
Liberty Lake, WA 99019
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2025-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.