MEDICARE: DR. HAROLD MARK BOREL DDS

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	122300000X	Dentist	5867	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891982419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD MARK BOREL DDS

Provider Business Mailing Address
First Line	:	806 JEFFERSON TER
Second Line	:
City	:	NEW IBERIA
State	:	LA
Zip	:	70560-5727
Country	:	US
Telephone Number	:	337-365-4945
Fax Number	:	337-367-3917

Provider Business Practice Location Address
First Line	:	1004 SURREY ST
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70501-6143
Country	:	US
Telephone Number	:	337-456-6768
Fax Number	:

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

Provider Enumeration Date	:	09/27/2007
Last Update Date	:	05/26/2023

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