| Kelly Bosworth, Dds, Inc | |
|
6140 Lake Linden Dr Suite 230 Excelsior MN 55331-2954 | |
| (952) 474-4123 | |
| (952) 401-3482 |
| Full Name | Kelly Bosworth, Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6140 Lake Linden Dr, Excelsior, Minnesota |
| Authorized Official Name and Position | Keriann German (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 9524744123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Bosworth, Dds, Inc 6140 Lake Linden Dr Suite 230 Excelsior MN 55331-2954 Ph: (952) 474-4123 | Kelly Bosworth, Dds, Inc 6140 Lake Linden Dr Suite 230 Excelsior MN 55331-2954 Ph: (952) 474-4123 |
| NPI Number | 1518125160 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518125160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9311 (Minnesota) | Primary |
Excelsior Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 2nd St, Suite 200, Excelsior, MN 55331 Phone: 952-474-6515 Fax: 952-474-1206 | |
Affiliated Oral And Maxillofacial Surgeons P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 2nd St, Suite 150, Excelsior, MN 55331 Phone: 952-474-6336 Fax: 952-474-2468 | |
Camp Smile Pediatric Dentistry Excelsior Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 Water St Ste 2, Excelsior, MN 55331 Phone: 763-383-1788 | |
Camp Smile Orthodontics Excelsior Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 Water St Ste 2, Excelsior, MN 55331 Phone: 763-383-1788 | |
Town Dental, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 2nd St, Excelsior, MN 55331 Phone: 952-474-6133 | |
Town Dental, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 2nd St, Excelsior, MN 55331 Phone: 952-474-6133 Fax: 952-474-7361 |