Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bruce a Boretsky DMD, LLC

Organization Periodontics · NPI 1962614610

Bruce a Boretsky DMD, LLC is a Periodontics in Columbus, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7310 N Lake Dr Ste C
Columbus, GA 31909-2787
Phone: (706) 653-2600
Fax: (706) 494-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DN012109 (GA)

Record details

NPI number1962614610
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Boretsky — Periodontist · (706) 653-2600
NPI enumeratedMay 4, 2007
Last updated in NPPESJanuary 24, 2013
Mailing address7310 N Lake Dr, Suite C, Columbus, GA 31909-2787

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