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Search › Idaho › General Practice Dentistry

Nathaniel Bork, DMD

NPI 1972885200 · on the registry since 2011

Practice

Address
2301 N 36th St Ste 102
Boise, ID 83703
Phone
(208) 336-8801
Fax
(208) 466-5359
Organisation at this address
Dr. Mick L. Tiegs, Inc., Ps
Community Health Clinics, Inc.
Community Health Clinics, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
General Practice Dentistry
Licence states on file
AZ, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-28

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 Idaho