Bruce A Boretsky Dmd, Llc in Columbus - Periodontics
Bruce A Boretsky Dmd, Llc - NPI 1962614610
Bruce A Boretsky Dmd, Llc is a Periodontics in Columbus, Georgia. Bruce A Boretsky Dmd, Llc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Bruce A Boretsky Dmd, Llc is 1962614610. The last update date is 2013-01-24.
Bruce A Boretsky Dmd, Llc's current location address is 7310 N Lake Dr, Columbus, Georgia. You can contact this provider via phone number 7066532600 and fax number 7064941000. The mailing address for Bruce A Boretsky Dmd, Llc is 7310 N Lake Dr, Columbus, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bruce A Boretsky Dmd, Llc |
|---|---|
| Address | 7310 N Lake Dr, Columbus, Georgia |
| Phone Number | 7066532600 |
| Fax Number | 7064941000 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PERIODONTI |
|---|---|
| Authorized Official Name | Boretsky A Bruce |
| Credentials | DMD |
| Telephone Number | 7066532600 |
NPI Number Detail
| NPI Number | 1962614610 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2013-01-24 |
Provider Mailing Address Detail
| Address | 7310 N Lake Dr |
|---|---|
| City | Columbus |
| State | Georgia (GA) |
| Post Code | 319092787 |
| Phone Number | 7066532600 |
| Fax Number | 7064941000 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DN012109 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the Bruce A Boretsky Dmd, Llc's unique identification number?
The Bruce A Boretsky Dmd, Llc has been assigned the NPI (National Provider Identifier) Number 1962614610 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Bruce A Boretsky Dmd, Llc is physically located?
The Bruce A Boretsky Dmd, Llc is physically situated at the following address: 7310 N Lake Dr, Columbus, GA, 319092787.
What is Bruce A Boretsky Dmd, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bruce A Boretsky Dmd, Llc is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Bruce A Boretsky Dmd, Llc receive the assignment of its 1962614610 from the Centers for Medicare & Medicaid Services?
The Bruce A Boretsky Dmd, Llc was issued its 1962614610 by the Centers for Medicare & Medicaid Services on 2007-05-04.
When was the Bruce A Boretsky Dmd, Llc's information last updated?
The Bruce A Boretsky Dmd, Llc's information was last updated on 2013-01-24.