Kelley L. Borders, D.M.D., P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

DN16284 Issued in FL

Legal business name

KELLEY L. BORDERS, D.M.D., P.A.

Practice address

1708 S Alexander St
Suite a
Plant City, FL 33563-8411

Phone

(813) 752-5600

NPI assigned

Jul 2, 2014

Last updated

Jul 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelley Lynn Borders, D.M.D.

Title

President Dentist

Phone

(813) 334-3798

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1568878387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 S ALEXANDER ST",
            "address_2": "SUITE A",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335638411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 S ALEXANDER ST",
            "address_2": "SUITE A",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335638411",
            "telephone_number": "813-752-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY L. BORDERS, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "BORDERS",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "813-334-3798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saritha Kadari, MD
• Hamza Kattih, DMD
• Sary Mazen Kattih, PHARMD
• Johanna Kearley, MSW
• Lakin Nicole Keip, COTA/L
• Kaylan Alyssa Kelly, DO
• Kathryn Lucille Kepes, MD
• Nazifa Khan, PA-C
• Saira Sadhia Khan, M.D.
• Sharif-Uz-Zaman Khan, M.D.

• Dentist in Plant City, FL
• Providers in Plant City, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.