MEDICARE: BORYS CASTRO DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN1859823	MA
2	122300000X	Dentist	DN123755	GA

General Provider Information

NPI Number	:	1659063675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BORYS CASTRO DMD

Provider Business Mailing Address
First Line	:	2350 BELMONT CIR SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-1568
Country	:	US
Telephone Number	:	678-842-9912
Fax Number	:

Provider Business Practice Location Address
First Line	:	2350 BELMONT CIR SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-1568
Country	:	US
Telephone Number	:	678-842-9912
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2023
Last Update Date	:	04/21/2026

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Directions to “ BORYS CASTRO DMD” Practice Location

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