Christopher Dale Borden, D.M.D.
Individual provider Active NPI General Practice Dentistry · Haleyville, AL
NPI 1073679965 · NPPES record last updated Apr 14, 2009
Key facts
- NPI
- 1073679965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5464 (AL)
- Practice address
- 1201 21St St
Haleyville, AL 35565-1812 - Phone
- (205) 486-3113
- Fax
- (205) 486-2641
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5464 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher D. Borden, DMD PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5464 | AL | Yes |
Addresses
Primary practice location
1201 21St St
Haleyville, AL 35565-1812
Mailing address
PO Box 458
1201 21St Street
Haleyville, AL 35565-0458
Phone (205) 486-3113
Other providers in Haleyville, AL
- Kim Ward Bailey
- Banks Family Dentistry
- Charles H Banks Jr.
- Emery E Bartek Jr.
- Juliette Aislinn James Bennett
- Boshell Chiropractic Clinic
- Amy Boshell
- Muris Ray Boshell Jr.
- Boyde J Harrison MD PC
- David Michael Britton
All providers in Haleyville, AL · General Practice Dentistry in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.