Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1629157854 Deactivated / Inactive NPI Male Practitioner

Dr. M. John Borkowski , DDS

Dentist - General Practice • Indianapolis, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. M. Borkowski has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 06, 2006
NPI Deactivation Date April 28, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. M. Borkowski, DDS was a registered Dentist - General Practice practicing in Indianapolis, IN. Throughout an active medical career spanning 15 years, Dr. Borkowski provided care at the practice location at 7118 N SHADELAND AVE until profile deactivation on 2021-04-28.

Practice Location & Contact Primary Location

Practice Address

7118 N Shadeland Ave

Indianapolis, IN 462502020

Telephone 3178496776
Fax 3175780106
Associated Practice Facility / Clinic
🏢 Avalon Dentistry, Inc. Facility NPI 1699974345

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
420 Specialists

Practicing in Indianapolis, IN (2204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12005290

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1326613399

Doctor of Dental Surgery

NPI 1649164948

Doctor of Dental Surgery

NPI 1952141855

Doctor of Dental Surgery

Dr. Christine Borkowski , DDS

Dentist - General Practice

NPI 1972696961

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 28, 2021

Record deactivated on April 28, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 7118 N SHADELAND AVE, INDIANAPOLIS, IN 462502020 (Tel: 3178496776)

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Updated Business Mailing Address July 08, 2007

Registered at 7118 N SHADELAND AVE, INDIANAPOLIS, IN 462502020 (Tel: 3178496776)

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Provider Name / Credentials Updated July 08, 2007

Recorded as M. BORKOWSKI, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12005290 in IN)

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Initial NPI Registration & Enumeration November 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629157854
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2006
Last Update: July 08, 2007
Deactivation Date: April 28, 2021

Mailing Address

7118 N Shadeland Ave

Indianapolis, IN 462502020

Phone: 3178496776

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.