Michael C. Boraski, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DSO19517L Issued in PA

Practice address

4111 A Old Bethlehem PK
Telford, PA 18969-1128

Phone

(215) 723-8393

Fax

(215) 723-5838

NPI assigned

Jul 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457370371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 A OLD BETHLEHEM PK",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189691128",
            "telephone_number": "215-723-8393",
            "fax_number": "215-723-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 A OLD BETHLEHEM PK",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189691128",
            "telephone_number": "215-723-8393",
            "fax_number": "215-723-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORASKI",
        "first_name": "MICHAEL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO19517L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne R Bellino Ailinger, MSN, CRNP
• Brian Daniel Berg, D.C.
• Erin Berkery, L.M.T.
• Michelle Bevan
• Bonnie L Becker DC
• Patricia Anne Brelsford, LPN
• June D Burkholder, RPH
• Cantwell Chiropractic Center
• Joseph B Cantwell, DC
• Debra J Carroll, CRNP

• General Practice Dentistry in Telford, PA
• Providers in Telford, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.