Michael Gustav Borchardt in Gastonia - Oral And Maxillofacial Surgery

Michael Gustav Borchardt - NPI 1639289853

Michael Gustav Borchardt is a Oral And Maxillofacial Surgery in Gastonia, North Carolina. Michael Gustav Borchardt practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Michael Gustav Borchardt is 1639289853. The last update date is 2007-07-09.

Michael Gustav Borchardt's current location address is 571 Cox Rd, Gastonia, North Carolina. You can contact this provider via phone number 7048657603 and fax number 7048656411. The mailing address for Michael Gustav Borchardt is 571 Cox Rd, Gastonia, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Gustav Borchardt
Address 571 Cox Rd, Gastonia, North Carolina
Phone Number 7048657603
Fax Number 7048656411
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1639289853
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 571 Cox Rd
City Gastonia
State North Carolina (NC)
Post Code 280540632
Phone Number 7048657603
Fax Number 7048656411

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 3749
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
90868 NC BCBS PROVIDER NUMBER
8990868 NC --

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FAQs about Michael Gustav Borchardt

What is the Michael Gustav Borchardt's unique identification number?

The Michael Gustav Borchardt has been assigned the NPI (National Provider Identifier) Number 1639289853 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Michael Gustav Borchardt is physically located?

The Michael Gustav Borchardt is situated at the following address: 571 Cox Rd, Gastonia, NC 280540632.

What is the Michael Gustav Borchardt's area of specialization and corresponding taxonomy classification?

The Michael Gustav Borchardt's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.

On what date did the Michael Gustav Borchardt receive the assignment of its 1639289853 from the Centers for Medicare & Medicaid Services?

The Michael Gustav Borchardt was issued its 1639289853 by the Centers for Medicare & Medicaid Services on 2006-08-30.

As of what date were the Michael Gustav Borchardt's details last updated?

The information pertaining to the Michael Gustav Borchardt, including its address, specialty, and other details, was most recently updated on 2007-07-09.

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