Provider Demographics
NPI:1801990296
Name:BORKOWSKI, ROBERT NEIL (DDS, MS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:NEIL
Last Name:BORKOWSKI
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2440 N JOSEY LN
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-1668
Mailing Address - Country:US
Mailing Address - Phone:972-242-8487
Mailing Address - Fax:972-446-0450
Practice Address - Street 1:2440 N JOSEY LN
Practice Address - Street 2:SUITE 201
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-1668
Practice Address - Country:US
Practice Address - Phone:972-242-8487
Practice Address - Fax:972-446-0450
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX189931223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics