Kelly Bosworth, Dds, Inc in Excelsior - General Practice
Kelly Bosworth, Dds, Inc - NPI 1518125160
Kelly Bosworth, Dds, Inc is a General Practice in Excelsior, Minnesota. Kelly Bosworth, Dds, Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kelly Bosworth, Dds, Inc is 1518125160. The last update date is 2008-05-30.
Kelly Bosworth, Dds, Inc's current location address is 6140 Lake Linden Dr, Excelsior, Minnesota. You can contact this provider via phone number 9524744123 and fax number 9524013482. The mailing address for Kelly Bosworth, Dds, Inc is 6140 Lake Linden Dr, Excelsior, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kelly Bosworth, Dds, Inc |
|---|---|
| Address | 6140 Lake Linden Dr, Excelsior, Minnesota |
| Phone Number | 9524744123 |
| Fax Number | 9524013482 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FINANCIAL |
|---|---|
| Authorized Official Name | German Keriann |
| Telephone Number | 9524744123 |
NPI Number Detail
| NPI Number | 1518125160 |
|---|---|
| Provider Enumeration Date | 2008-05-30 |
| Last Updated Date | 2008-05-30 |
Provider Mailing Address Detail
| Address | 6140 Lake Linden Dr |
|---|---|
| City | Excelsior |
| State | Minnesota (MN) |
| Post Code | 553312954 |
| Phone Number | 9524744123 |
| Fax Number | 9524013482 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 9311 |
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Definition: 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. |
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What is the Kelly Bosworth, Dds, Inc's unique identification number?
The Kelly Bosworth, Dds, Inc has been assigned the NPI (National Provider Identifier) Number 1518125160 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Kelly Bosworth, Dds, Inc is physically located?
The Kelly Bosworth, Dds, Inc is situated at the following address: 6140 Lake Linden Dr, Excelsior, MN 553312954.
What is Kelly Bosworth, Dds, Inc'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 Bosworth, Dds, Inc is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Kelly Bosworth, Dds, Inc receive its 1518125160 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Bosworth, Dds, Inc was assigned its 1518125160 by the Centers for Medicare & Medicaid Services on 2008-05-30.
When was the information regarding Kelly Bosworth, Dds, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly Bosworth, Dds, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-30.
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