Bruce A Boretsky Dmd, LLC
Bruce A Boretsky Dmd, LLC is a healthcare organization registered as Periodontics in Columbus, GA, holding Type 2 (organization) NPI 1962614610 since 2007. The authorized official on file is Bruce Boretsky, Periodontist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962614610 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bruce A Boretsky Dmd, LLC |
| Practice address | 7310 N LAKE DR, SUITE C, Columbus, GA, 31909 |
| Phone | 7066532600 |
| Fax | 7064941000 |
| Enumeration date | 2007-05-04 |
| Last updated in NPPES | 2013-01-24 |
Authorized official
| Name | Bruce Boretsky |
|---|---|
| Title | Periodontist |
| Phone | 7066532600 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0300X | Periodontics | Primary | DN012109 | GA |
Copy-ready billing details
Provider: Bruce A Boretsky Dmd, LLC NPI: 1962614610 Taxonomy: 1223P0300X (Periodontics) Address: 7310 N LAKE DR, SUITE C, Columbus, GA, 31909
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1689916504 | Bruce Boretsky | Individual | Periodontics | Columbus, GA |
Verify this record
Cross-check NPI 1962614610 against the authoritative CMS record: view Bruce A Boretsky Dmd, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Bruce A Boretsky Dmd, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2013-01-24.