Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE LYNN BOSWORTH, DDS
Active Sole ProprietorDR. BRUCE LYNN BOSWORTH, DDS is a Periodontology healthcare provider located in ONLEY, Virginia. NPI 1215098819 is currently active in the NPPES registry. Verify at CMS.
Periodontology · ONLEY, VA
Registration Details
- NPI Number
- 1215098819
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2006 (19.695292551772 yrs)
- Last Updated
- Feb 8, 2008
- License
-
0401008796 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25529 EAST MAIN STONLEY, VA, 234180345Browse VA providers · Browse ZIP 23418
- Phone
- 7577878811
- Fax
- 7577878812
- Primary Specialty
-
Periodontology
1223P0300X
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.