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

Dr. Nathaniel A Bork, DMD

Individual provider General Practice Dentistry · NPI 1972885200

Dr. Nathaniel A Bork, DMD is a General Practice Dentistry in Boise, Idaho. Licensed in Arizona and Idaho. Registered with an NPI since 2011.

Licensed in
AZ, ID
In the registry since
2011
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2301 N 36th St Ste 102
Boise, ID 83703-5202
Phone: (208) 336-8801
Fax: (208) 466-5359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D-5101 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence D008311 (AZ)

Record details

NPI number1972885200
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 13, 2011
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020
Mailing addressPo Box 9, Nampa, ID 83653-0009

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