Catherine Thamer Bordlemay, D.M.D.

Individual provider Active NPI General Practice Dentistry · Richmond Hill, GA

NPI 1629286133 · NPPES record last updated Feb 23, 2012

Key facts

NPI
1629286133
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN013390 (GA)
Practice address
10230 Ford Avenue
Richmond Hill, GA 31324-8854
Phone
(912) 756-2936
Fax
(912) 756-2931
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DN013390GAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN013390 GA Yes

Addresses

Primary practice location

10230 Ford Avenue
Richmond Hill, GA 31324-8854

Mailing address

10230 Ford Avenue
Richmond Hill, GA 31324-8854
Phone (912) 756-2936

Other names

  • Dr. Catherine Elizabeth Thamer Former name

Other providers in Richmond Hill, GA

All providers in Richmond Hill, GA · General Practice Dentistry in Georgia

Sources for this page

Verify at the official NPI Registry.