Individual provider · Type 1 NPI

Nathaniel A. Bork, DMD

General Practice Dentistry · Boise, ID

NPI number 1972885200 Active

Practice location

2301 N 36th St Ste 102
Boise, ID 83703-5202

Fax (208) 466-5359

Mailing address

PO Box 9
Nampa, ID 83653-0009

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XD008311 (AZ)
General Practice Dentistry Primary 1223G0001XD-5101 (ID)

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.

6 other providers at this address

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About NPI 1972885200

Nathaniel A. Bork, DMD's National Provider Identifier is 1972885200, issued on Sep 13, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on Jan 28, 2020.