Dr. Thomas Christopher Bork
Pediatric Dentist
2061 Ridge Rd W Suite 1
Rochester
, New York 14626-2718
Dr. Thomas Christopher Bork
Pediatric Dentist
2061 Ridge Rd W Suite 1
Rochester
, New York 14626-2718
(585) 227-5410
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Thomas Christopher Bork
- 2061 Ridge Rd W Suite 1
- Rochester, NY
- Zip : 14626-2718
- Fax : (585) 227-5410
- Phone : (585) 227-4570
Second Address
- Dr. Thomas Christopher Bork
- 2061 Ridge Rd W Suite 1
- Rochester, NY
- Zip : 14626-2718
- Fax : (585) 227-5410
- Phone : (585) 227-4570
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 043585 | NY |
National Provider Identifier
| NPI | 1023199957 |
|---|---|
| Provider Name | Dr. Thomas Christopher Bork |
| First Address | Rochester, NY 14626-2718 |
| Second Address | Rochester, NY 14626-2718 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01294339 | (05) | NY |
| 7949 | B/S-CHP (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.