Individual
DR. CORY ALLEN BORER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
454 MCQUEEN SMITH RD S, PRATTVILLE, AL 36066-5631
(334) 380-9170
(334) 380-9172
Mailing address
454 MCQUEEN SMITH RD S, PRATTVILLE, AL 36066-5631
(334) 380-9170
(334) 380-9172
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8020
IA
122300000X
Dentist
Primary
D.6876-C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0194274
—
IA
05
—
3186237 00
—
MN
05
—
421494642 00
—
NE
Enumeration date
12/04/2006
Last updated
01/16/2026
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