Individual provider · Type 1 NPI

Bruce A. Boretsky, DMD

Periodontics · Columbus, GA

NPI number 1689916504 Active

Practice location

7310 N Lake Dr, Suite C
Columbus, GA 31909-1698

Fax (706) 494-1000

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDN012109 (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.

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About NPI 1689916504

Bruce A. Boretsky, DMD's National Provider Identifier is 1689916504, issued on Mar 18, 2013. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Columbus, GA. The record was last updated on Mar 18, 2013.