Active NPIIndividual provider

Ryan W Borders, DMD

Dentist, General Practice in Revere, Massachusetts

NPI Number1568155547
Practice location
140 School St, Revere, MA 02151-3013
Fax
—
Last updated
July 24, 2023

Ryan William Borders is a Dentist, General Practice based in Revere, MA. Ryan William Borders practices in Revere, MA and has the professional credentials of DMD. The NPI Number for Ryan William Borders is 1568155547 and holds a License No. DN1859883 (MA). The current practice location address for Ryan William Borders is 140 School St, Revere, MA 02151-3013 and can be reached out via phone at 781-289-0839.

Provider Profile Details

NPI Number
1568155547
Provider Name
Ryan William Borders
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
140 School St, Revere, MA 02151-3013
Phone Number
781-289-0839
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
May 26, 2023
Last Update Date
July 24, 2023
Certification Date
July 24, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 School St
Revere, MA 02151-3013
City
Revere
Zip
02151-3013
Phone Number
781-289-0839
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
12 Conant RD
Lynn, MA 01904-1207
City
Lynn
State
MA
Zip
01904-1207
Phone Number
781-879-4783

License Information

License Number
DN1859883
License State
MA
Taxonomy
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 Ryan W Borders, DMD?

The NPI number of Ryan W Borders, DMD is 1568155547. It was assigned on May 26, 2023 and is currently active in the NPPES registry.

What is the specialty of Ryan W Borders, DMD?

Ryan W Borders, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1859883.

Where does Ryan W Borders, DMD practice?

The practice location is 140 School St, Revere, MA 02151-3013. The office can be reached at 781-289-0839 (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 1568155547 directly on the NPPES registry website.

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