Douglas Paul Bork in Elgin - General Practice

Douglas Paul Bork - NPI 1326100314

Douglas Paul Bork is a General Practice in Elgin, Illinois. Douglas Paul Bork practices all healthcare services and medical treatments related to General Practice. The NPI Number for Douglas Paul Bork is 1326100314. The last update date is 2007-07-08.

Douglas Paul Bork's current location address is 1795 Grandstand Place, Elgin, Illinois. You can contact this provider via phone number 8477421216 and fax number 8477422729. The mailing address for Douglas Paul Bork is 1795 Grandstand Place, Elgin, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas Paul Bork
Address 1795 Grandstand Place, Elgin, Illinois
Phone Number 8477421216
Fax Number 8477422729
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1326100314
Provider Enumeration Date 2006-12-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1795 Grandstand Place
City Elgin
State Illinois (IL)
Post Code 60123
Phone Number 8477421216
Fax Number 8477422729

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 1917699
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Douglas Paul Bork

What is the unique provider identifier assigned to Douglas Paul Bork?

The Douglas Paul Bork has been issued the NPI (National Provider Identifier) 1326100314 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Douglas Paul Bork's facilities are geographically located?

The facilities of Douglas Paul Bork are physically situated at the following location: 1795 Grandstand Place, Elgin, IL, 60123.

What is the area of specialization for Douglas Paul Bork, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Douglas Paul Bork is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1326100314 to Douglas Paul Bork?

The Douglas Paul Bork received its 1326100314 assignment from the Centers for Medicare & Medicaid Services on 2006-12-15.

As of what date were the details pertaining to Douglas Paul Bork last refreshed?

The information related to the Douglas Paul Bork, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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