Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY GORDON BORK, DDS
Active Sole ProprietorDR. BRADLEY GORDON BORK, DDS is a General Dentistry healthcare provider located in MEDIAPOLIS, Iowa. NPI 1972534527 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MEDIAPOLIS, IA
Registration Details
- NPI Number
- 1972534527
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2006 (20.079436345222 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5675 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
511 COLUMBIA STREETMEDIAPOLIS, IA, 52637Browse IA providers · Browse ZIP 52637
- Phone
- 3193943255
- Fax
- 3193943133
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.