Provider Demographics
NPI:1760845242
Name:UMIT BORKAN SEVIM DDS PA
Entity Type:Organization
Organization Name:UMIT BORKAN SEVIM DDS PA
Other - Org Name:BORKAN FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:UMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:BORKAN-SEVIM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-790-2220
Mailing Address - Street 1:1617 RONALD DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6224
Mailing Address - Country:US
Mailing Address - Phone:919-790-2220
Mailing Address - Fax:
Practice Address - Street 1:1617 RONALD DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6224
Practice Address - Country:US
Practice Address - Phone:919-790-2220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1223G0001X
NC9122261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty