Bork, Thomas Christopher

Bork, Thomas Christopher is an individual health care provider with primary practice located at 2061 Ridge Rd W Suite 1, Rochester NY 14626-2718. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Bork, Thomas Christopher can be contacted via phone (585) 227-4570.

Contact Information

Primary practice address
2061 Ridge Rd W Suite 1 Rochester NY 14626-2718
Phone: (585) 227-4570
Fax: (585) 227-5410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 043585 New York

Profile Details

NPI number 1023199957
LBN Legal business name Bork, Thomas Christopher
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023199957 NPPES
Other 7949 B/S-CHP
MEDICAID 01294339 B/S-CHP

Popular Providers