Provider Demographics
NPI:1639177900
Name:BORCHERS, MICHAEL R (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:R
Last Name:BORCHERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 HILL COUNTRY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-6070
Mailing Address - Country:US
Mailing Address - Phone:830-257-2331
Mailing Address - Fax:830-257-7455
Practice Address - Street 1:708 HILL COUNTRY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-6070
Practice Address - Country:US
Practice Address - Phone:830-257-2331
Practice Address - Fax:830-257-7455
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX147241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice