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Contact Information

KELLY B BOSWORTH, DDS 9311
24000 HWY 7
SUITE 120 KELLY BOSWORTH FAMILY DENTISTRY
SHOREWOOD, MN55331
 Phone: 952-474-4123
 Fax: 952-401-3482
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KELLY B BOSWORTH · (Male)

NPI # 1174615306
Status Active
Credentials DDS 9311
Entity Individual
Enumeration date 09/28/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 9311
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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