Search › Kentucky › 1223G0001X
Matthew Bormann, DMD
NPI 1679869184 · on the registry since 2011
Practice
- Address
- 501 Taylorsville Rd.
Taylorsville, KY 40071 - Phone
- (502) 477-2248
- Organisation at this address
- Park Duvalle Community Health Center, Inc
Park Duvalle Community Health Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 1727 Sadie Ln, Louisville, KY
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky