Cory Allen Borer, D.D.S.
Individual provider Active NPI Dentist · Prattville, AL
NPI 1013075969 · NPPES record last updated Jan 16, 2026
Key facts
- NPI
- 1013075969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D.6876-C (AL)
- Practice address
- 454 McQueen Smith Rd S
Prattville, AL 36066-5631 - Phone
- (334) 380-9170
- Fax
- (334) 380-9172
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Dentist
- Education
- Univ of Nebraska Medical Center, Col of Dentistry, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
330 Evergreen Dr
Deatsville, AL 36022-4420
454 McQueen Smith Rd S
Prattville, AL 36066-5631
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260417003021 | AL | Practitioner - Dentist | 5496976490 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.6876-C | AL | MD | Dentist |
| 8020 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cory Borer, D.D.S., LLC | Current | Accepting new patients | |
| LD-Montgomery, LLC | Current |
Accepting new patients | |
| Dale Entrekin DMD PC | Past |
Accepting new patients |
Locations
7022 Vaughn Rd
Montgomery, AL 36116
Phone (334) 271-3111
454 McQueen Smith Rd S
Prattville, AL 36066
Phone (334) 380-9170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8020 | IA | |
| Dentist | 122300000X | D.6876-C | AL | Yes |
Addresses
Primary practice location
454 McQueen Smith Rd S
Prattville, AL 36066-5631
Mailing address
454 McQueen Smith Rd S
Prattville, AL 36066-5631
Phone (334) 380-9170
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3186237 00 | Medicaid | MN | |
| 421494642 00 | Medicaid | NE | |
| 0194274 | Medicaid | IA |
Other providers in Prattville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.