DR. MATTHEW JAMES BOSCIA D.M.D NPI 1043540552

NPI Information

NPI: 1043540552
Provider Name: DR. MATTHEW JAMES BOSCIA, D.M.D
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
15 LAKESIDE DR
LAKE ST LOUIS, MO
ZIP 63367
Phone: (636) 625-1225
Get Directions

DR. Matthew James Boscia, D.M.D is a general practice dentist in Lake St Louis, MO. The provider is 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. DR. Matthew James Boscia, D.M.D NPI is 1043540552. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 LAKESIDE DR
LAKE ST LOUIS, MO
ZIP 63367-378
Phone: (636) 625-1225
Fax: (636) 625-1228

The NPI 1043540552 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 1/5/2010 and was last updated on 12/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		2003013106	MISSOURI	No
2	1223G0001X	Dentist	General Practice	2003013106	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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