Organization Active NPI

Borges DMD PLLC

  • General Practice Dentistry
  • St. Augustine, FL
National Provider Identifier
1003799784
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BORGES DMD PLLC
Practice address
Borges25Dmd@Gmail.Com
7440 Route US-1/Suite 104,
St. Augustine, FL 32095
Phone
(908) 446-9572
NPI assigned
Jul 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stalin Henrique De Souza Borges, DMDNPI 1548954803
Title
Dentist
Phone
(908) 446-9873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

Borges25Dmd@Gmail.Com
7440 Route US-1/Suite 104,
St. Augustine, FL 32095

Mailing address

Borges25Dmd@Gmail.Com
7440 Route US-1/Suite 104,
St. Augustine, FL 32095
Phone (908) 446-9572

National Provider Directory

National Provider Directory

Locations

7440 US 1 N
Ste 104
Saint Augustine, FL 32095
Phone (908) 446-9572

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1003799784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BORGES25DMD@GMAIL.COM",
            "address_2": "7440 ROUTE US-1/SUITE 104,",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32095",
            "telephone_number": "908-446-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BORGES25DMD@GMAIL.COM",
            "address_2": "7440 ROUTE US-1/SUITE 104,",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32095",
            "telephone_number": "908-446-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORGES DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "DE SOUZA BORGES",
        "authorized_official_first_name": "STALIN",
        "authorized_official_middle_name": "HENRIQUE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "908-446-9873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.