DR. MATTHEW ALAN BORMANN


Address: 501 Taylorsville Rd., Taylorsville, KY 40071
Phone: 5024772248

DR. MATTHEW ALAN BORMANN (NPI# 1679869184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679869184
Entity Type Individual
Full Name DR. MATTHEW ALAN BORMANN
Credential DMD
Practice Address 501 Taylorsville Rd.
Taylorsville
KY 40071
Mailing Address 3015 Wilson Ave
Louisville
KY 40211-1969
Practice Telephone 5024772248
Mailing Telephone 5027744401
Enumeration Date 2011-06-22
Last Update Date 2019-06-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
9008 KY Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100195400 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1727 Sadie Ln, Louisville, KY 402162753 5024479628

Office Location

Street Address 501 TAYLORSVILLE RD.
City TAYLORSVILLE
State KY
Zip Code 40071

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801343140 Melissa Ann Hines Nurse Practitioner 501 Taylorsville Rd., Taylorsville, KY 40071 2016-09-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609322841 Debbie Long Registered Nurse 88 Spears Drive, Taylorsville, KY 40071 2016-08-28
1023325594 Patrick Daniel Bray Physical Therapist 4813 Taylorsville Rd., Taylorsville, KY 40071 2010-09-07
1043522584 Ernest John Kettig Durable Medical Equipment & Medical Supplies 206 Taylorsville Rd., Ste. A, Taylorsville, KY 40071 2010-07-13
1922202480 Kristen Smotherman Counselor 73 East Main Street, Taylorsville, KY 40071 2007-06-11
1669590774 Bg House Enterprises Inc Physical Therapist 4813 Taylorsville Rd, Taylorsville, KY 40071 2007-03-27
1346263324 Scpg Kentucky LLC Pharmacy 847 Taylorsville Rd, Taylorsville, KY 40071 2006-07-25
1154375020 Ethel Darline Luster Caldwell Nurse Practitioner 870 Taylorsville Road, Taylorsville, KY 40071 2006-05-22
1023080884 North Central District Health Dept. Public Health or Welfare 88 Spears Dr, Taylorsville, KY 40071 2006-02-06
1235326588 Melissa Thomas Physician Assistant 870 Taylorsville Road, Taylorsville, KY 40071 2007-10-01
1750504767 Becky Gay House Physical Therapist 4813 Taylorsville Rd, Taylorsville, KY 40071 2007-04-10
Find all providers in zip 40071

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982987608 Randal Roberts Dentist 6321 S Redwood Rd Ste 206, Taylorsville, UT 84123-6972 2011-09-20
1285920629 John Mark Snider Jr. Dentist 880 Taylorsville Rd, Taylorsville, KY 40071-9772 2011-06-23
1437310885 David Mcgowan Dentist 4744 Nina Marie Cir, Taylorsville, UT 84123-3478 2008-06-18
1801055652 Thomas F Lundeen Dentist 633 Old Landfill Road, Nc Department of Corrections Axci 4870, Taylorsville, NC 28681-0909 2008-06-06
1902008048 Crescent Dental, Inc. Dentist 5547 So. 4015 W., Suite 2, Taylorsville, UT 84118-4408 2007-06-01
1083775837 Stephen Eldredge Dentist 5419 S Redwood Rd, Taylorsville, UT 84123-5318 2006-12-13
1720183585 Horizon Dental of Taylorsville Dentist 2195 W 5400 S, #203, Taylorsville, UT 84118-1431 2006-09-14
1780692772 Howard Leon Plant Jr. Dentist 167 First Ave Sw, Taylorsville, NC 28681 2006-08-04
1033132667 Susan Horldt Bridges Dentist 322 1st Ave Sw, Taylorsville, NC 28681-2402 2006-07-25
1073572608 Michael B.hill, Dds, PC Dentist 1951 W 4700 S, Suite #4, Taylorsville, UT 84118-1108 2006-03-22
Find all providers in TAYLORSVILLE

Competitor

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City TAYLORSVILLE
Zip Code 40071

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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