Provider Demographics
NPI:1891748760
Name:BORDNER, EMILY S (DDS)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:S
Last Name:BORDNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2752 WOODLAWN DR
Mailing Address - Street 2:SUITE 5-207
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1802
Mailing Address - Country:US
Mailing Address - Phone:808-988-2636
Mailing Address - Fax:
Practice Address - Street 1:2752 WOODLAWN DR
Practice Address - Street 2:SUITE 5-207
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-1802
Practice Address - Country:US
Practice Address - Phone:808-988-2636
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-20071223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry