Active NPIIndividual provider

Dr. Thomas C Bordieri, DMD

Dentist, General Practice in Bend, Oregon

NPI Number1487218095
Practice location
2137 NE 4TH St, Bend, OR 97701-3824
Fax
—
Last updated
June 17, 2021

Thomas Carleton Bordieri is a Dentist, General Practice based in Bend, OR. Thomas Carleton Bordieri practices in Bend, OR and has the professional credentials of DMD. The NPI Number for Thomas Carleton Bordieri is 1487218095 and holds a License No. D11421 (OR). The current practice location address for Thomas Carleton Bordieri is 2137 NE 4TH St, Bend, OR 97701-3824 and can be reached out via phone at 541-389-4807.

Provider Profile Details

NPI Number
1487218095
Provider Name
Thomas Carleton Bordieri
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2137 NE 4TH St, Bend, OR 97701-3824
Phone Number
541-389-4807
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
April 29, 2019
Last Update Date
June 17, 2021
Certification Date
June 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
2137 NE 4TH St
Bend, OR 97701-3824
City
Bend
State
Oregon
Zip
97701-3824
Phone Number
541-389-4807
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
2137 NE 4TH St
Bend, OR 97701-3824
City
Bend
State
OR
Zip
97701-3824
Phone Number
541-389-4807

License Information

License Number (2)
D11421
License State (2)
OR
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Thomas C Bordieri, DMD?

The NPI number of Dr. Thomas C Bordieri, DMD is 1487218095. It was assigned on April 29, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Thomas C Bordieri, DMD?

Dr. Thomas C Bordieri, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in OR under license number D11421.

Where does Dr. Thomas C Bordieri, DMD practice?

The practice location is 2137 NE 4TH St, Bend, OR 97701-3824. The office can be reached at 541-389-4807 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487218095 directly on the NPPES registry website.

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