Kelly B Bosworth is a Dentist in Shorewood, Minnesota. Kelly B Bosworth practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kelly B Bosworth is 1174615306. The last update date is 2007-07-08.
Kelly B Bosworth's current location address is 24000 Hwy 7, Shorewood, Minnesota. You can contact this provider via phone number 9524744123 and fax number 9524013482. The mailing address for Kelly B Bosworth is 24000 Hwy 7, Shorewood, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly B Bosworth |
|---|---|
| Address | 24000 Hwy 7, Shorewood, Minnesota |
| Phone Number | 9524744123 |
| Fax Number | 9524013482 |
| Sole Proprietor | N |
| Credentials | DDS 9311 |
NPI Number Detail
| NPI Number | 1174615306 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 24000 Hwy 7 |
|---|---|
| City | Shorewood |
| State | Minnesota (MN) |
| Post Code | 55331 |
| Phone Number | 9524744123 |
| Fax Number | 9524013482 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9311 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique identifier code issued to Kelly B Bosworth by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly B Bosworth has been assigned the NPI (National Provider Identifier) 1174615306. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Kelly B Bosworth is located?
The Kelly B Bosworth is situated at the following address: 24000 Hwy 7, Shorewood, MN, 55331.
What is Kelly B Bosworth's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly B Bosworth is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Kelly B Bosworth receive its 1174615306 assignment from the Centers for Medicare & Medicaid Services?
The Kelly B Bosworth was assigned its 1174615306 by the Centers for Medicare & Medicaid Services on 2006-09-28.
As of what date were the details pertaining to Kelly B Bosworth last refreshed?
The information related to the Kelly B Bosworth, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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