George Eugene Borzemsky, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2962 Issued in ME

Practice address

65 Drive in Rd
Fort Kent, ME 04743-1548

Phone

(207) 834-1151

NPI assigned

Aug 12, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1629224555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 DRIVE IN RD",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431548",
            "telephone_number": "207-834-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DRIVE IN RD",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431548",
            "telephone_number": "207-834-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORZEMSKY",
        "first_name": "GEORGE",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01347900",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balanced Soul Medicine, LLC
• Miguel Barnaby
• Alicia Mary Bernier, RN BSN
• Kasie Blanchette, RN-BSN
• Derek Bonenfant
• Andrea Bouchard, CRNA
• Livia Grace Bouchard, RN-BSN
• Sherrie Anne Bouchard I
• Sarah Katherine Brock
• Anna M. Cannan, RD, LD

• General Practice Dentistry in Fort Kent, ME
• Providers in Fort Kent, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.