Individual provider · Type 1 NPI
Justin William Bordlemay, DMD
Periodontics · Richmond Hill, GA
NPI number
1376522722
Active
Practice location
10055 Ford Ave Ste 3C
Richmond Hill, GA 31324-3972
Fax (912) 445-0738
Mailing address
PO Box 1885
Richmond Hill, GA 31324-1885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DN013841 (GA) |
Periodontics: 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 structures and tissues.
About NPI 1376522722
Justin William Bordlemay, DMD's National Provider Identifier is 1376522722, issued on Jan 13, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Richmond Hill, GA. The record was last updated on Jun 22, 2023.