National Provider Identifier
Robert Louis Bork, D.D.S.
Robert Louis Bork, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Snyder, NY and a listed phone number of (716) 839-4222.
Profile Overview
- NPI
- 1518000348
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- February 14, 2007
- Last Updated
- September 06, 2022
Practice Location
- 4510 Main St
- Snyder, NY 14226-3800
Phone: (716) 839-4222
Mailing Address
- 4510 Main St
- Buffalo, NY 14226-3800
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1518000348
- Entity Type
- Individual
- Last Name
- Bork
- First Name
- Robert
- Middle Name
- Louis
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 4510 Main St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14226-3800
- Mailing Country
- US
- Mailing Phone
- (716) 839-4222
- Practice Street Address
- 4510 Main St
- Practice City
- Snyder
- Practice State
- NY
- Practice ZIP Code
- 14226-3800
- Practice Country
- US
- Practice Phone
- (716) 839-4222
- Enumeration Date
- February 14, 2007
- Last Updated
- September 06, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 06, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)