National Provider Identifier
Thomas Christopher Bork, DDS
Thomas Christopher Bork, DDS is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in Rochester, NY and a listed phone number of (585) 227-4570.
Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1023199957
- Provider Type
- Individual
- Primary Specialty
- Pediatric Dentistry
- Enumeration Date
- October 18, 2006
- Last Updated
- July 08, 2007
Practice Location
- 2061 Ridge RD W
- Suite 1
- Rochester, NY 14626-2718
Phone: (585) 227-4570
Specialties
- Pediatric Dentistry (1223P0221X)
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Biography
Dr. Thomas Christopher Bork, DDS, is a Rochester-area dentist whose New York dentistry license was first issued in August 1991; the state’s license verification currently lists the license as inactive and registered through September 2023. The CMS provider registry identifies pediatric dentistry as his reported practice focus.
Full Record
- NPI
- 1023199957
- Entity Type
- Individual
- Last Name
- Bork
- First Name
- Thomas
- Middle Name
- Christopher
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 2061 Ridge RD W
- Mailing Address Line 2
- Suite 1
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-2718
- Mailing Country
- US
- Mailing Phone
- (585) 227-4570
- Mailing Fax
- (585) 227-5410
- Practice Street Address
- 2061 Ridge RD W
- Practice Address Line 2
- Suite 1
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-2718
- Practice Country
- US
- Practice Phone
- (585) 227-4570
- Practice Fax
- (585) 227-5410
- Enumeration Date
- October 18, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Pediatric Dentistry (1223P0221X)
- Other Identifiers
- 7949 (B/S-Chp), 01294339 (NY)