Provider Demographics
NPI:1629286133
Name:BORDLEMAY, CATHERINE THAMER (DMD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:THAMER
Last Name:BORDLEMAY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:ELIZABETH
Other - Last Name:THAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:10230 FORD AVENUE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-8854
Mailing Address - Country:US
Mailing Address - Phone:912-756-2936
Mailing Address - Fax:912-756-2931
Practice Address - Street 1:10230 FORD AVENUE
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-8854
Practice Address - Country:US
Practice Address - Phone:912-756-2936
Practice Address - Fax:912-756-2931
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0133901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice