George Edward Bork, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN1857608 Issued in MA

Practice address

50 W Big Beaver Rd Ste 215
Bloomfield Hills, MI 48304-3912

Phone

(248) 647-0696

NPI assigned

Jun 27, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roy D McAnnelly DMD PC

  • Dentist
  • Bloomfield Hills, MI
  • NPI 1477621290

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1437679735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 HEATHER DR APT 206",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264176",
            "telephone_number": "989-513-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W BIG BEAVER RD STE 215",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043912",
            "telephone_number": "248-647-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORK",
        "first_name": "GEORGE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN1857608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Bolton, LLPC
• Bonne Sante Compounding Pharmacy LLC
• Kalsey Boots
• Lauren Borg, RD
• Edward Anthony Borio, DDS
• Kenneth Astrat Borovich, DDS
• Vidal D Borromeo, M.D.
• Rebecca Boston, M.D.
• Alyssa Bottrell, MD
• Suheil M Boutros, DDS MS

• Orthodontics and Dentofacial Orthopedics Dentistry in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.