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BRUCE A BORETSKY DMD, LLC
NPI 1962614610
Dentist - Periodontics in Columbus, GA

Active since May 04, 2007
7310 N LAKE DR, SUITE C, COLUMBUS, GA 31909(706) 653-2600(706) 494-1000 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bruce A Boretsky Dmd, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUCE A BORETSKY DMD, LLC (NPI 1962614610) is a healthcare organization registered as a periodontics in Columbus, Georgia and active in the NPI registry since May 2007. The organization lists Bruce A Boretsky, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1962614610
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameBRUCE A BORETSKY DMD, LLC
Location Address7310 N LAKE DR, SUITE CColumbus, GA 31909-2787
Mailing Address7310 N Lake Dr, Suite CColumbus, GA 31909-2787 · (706) 653-2600 · Fax (706) 494-1000
Phone(706) 653-2600
Fax(706) 494-1000
Organization SubpartNo
Authorized OfficialBruce A BoretskyPeriodontist · (706) 653-2600
Enumeration DateMay 4, 2007
Last NPPES UpdateJanuary 24, 2013
✔ NPI 1962614610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in GA · DN012109
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
7310 N LAKE DR, Columbus, GA 31909
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRUCE A BORETSKY DMD
Dentist (Periodontics)
7310 N LAKE DR, SUITE C
COLUMBUS, GA 31909
Muscogee County (706) 653-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce A Boretsky Dmd, LLC's NPI number?

The NPI number for Bruce A Boretsky Dmd, LLC is 1962614610. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Bruce A Boretsky Dmd, LLC located?

Bruce A Boretsky Dmd, LLC is located at 7310 N Lake Dr Suite C, Columbus, GA 31909. The listed phone number is (706) 653-2600.

What is Bruce A Boretsky Dmd, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Bruce A Boretsky Dmd, LLC was last updated on January 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.