Individual provider · Type 1 NPI
Bradley Gordon Bork, DDS
General Practice Dentistry · Mediapolis, IA
NPI number
1972534527
Active
Practice location
511 Columbia Street
Mediapolis, IA 52637
Fax (319) 394-3133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 5675 (IA) |
General Practice Dentistry: 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.
About NPI 1972534527
Bradley Gordon Bork, DDS's National Provider Identifier is 1972534527, issued on Jul 5, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mediapolis, IA. The record was last updated on Jul 8, 2007.