Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW JAMES BOSCIA, D.M.D
Active Sole ProprietorDR. MATTHEW JAMES BOSCIA, D.M.D is a General Dentistry healthcare provider located in LAKE ST LOUIS, Missouri. NPI 1043540552 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LAKE ST LOUIS, MO
Registration Details
- NPI Number
- 1043540552
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2010 (16.590635764241 yrs)
- Last Updated
- Dec 4, 2018
- Licenses
-
2003013106 (MO)2003013106 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15 LAKESIDE DRLAKE ST LOUIS, MO, 633671378Browse MO providers · Browse ZIP 63367
- Phone
- 6366251225
- Fax
- 6366251228
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in LAKE ST LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| MICHAEL F. CISSELL | DDS | 1164707139 |
| DR. BRADY HARTMAN | DDS | 1932944311 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.