Corey Isaac Bornstein, DDS is a
Student In An Organized Health Care Education/training Program based in Detroit, Michigan. Corey Isaac Bornstein is licensed to practice in Michigan (license number 2951001041) and his current practice location is
2700 Martin Luther King Jr Blvd, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 494-6729.
NPI number for Corey Isaac Bornstein is 1467912543 and his current mailing address is 2700 Martin Luther King Jr Blvd, Detroit, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467912543.
Healthcare Provider's Profile
| Full Name | Corey Isaac Bornstein |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2700 Martin Luther King Jr Blvd, Detroit, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467912543
- Provider Enumeration Date: 03/23/2019
- Last Update Date: 07/23/2026
Medical Identifiers
Medical identifiers for Corey Isaac Bornstein such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467912543 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 105579 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 2951001041 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Corey Isaac Bornstein is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Corey Isaac Bornstein, DDS 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 Ph: (313) 494-6651 | Corey Isaac Bornstein, DDS 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 Ph: (313) 494-6729 |
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