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.

NPI 1023199957Rochester, NYPediatric Dentistry

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)
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
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Dentistry (1223P0221X)
Other Identifiers
7949 (B/S-Chp), 01294339 (NY)