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Dr. Matthew James Boscia, DMD
General Practice Dentistry in Lake St Louis, Missouri
NPI 1043540552

Matthew James Boscia is a General Practice Dentistry based in Lake St Louis, MO and is specialized in General Practice. Matthew James Boscia practices in Lake St Louis, MO and has the professional credentials of DMD. The NPI Number for Matthew James Boscia is 1043540552 and holds a License No. 2003013106 (Missouri).

The current practice location address for Matthew James Boscia is 15 Lakeside Dr, Lake St Louis, MO and can be reached out via phone at 636-625-1225 and via fax at 636-625-1228.

Location: 15 Lakeside Dr, Lake St Louis, MO, 63367-1378
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043540552
Provider Name
Matthew James Boscia
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
15 Lakeside Dr, Lake St Louis, MO, 63367-1378
Phone Number
636-625-1225
Fax Number
636-625-1228
Provider Enumeration Date
01/05/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15 Lakeside Dr
City
Lake St Louis
State
Missouri
Zip
63367-1378
Phone Number
636-625-1225
Fax Number
636-625-1228
person
Provider Business Mailing Address Details
Address
15 Lakeside Dr
City
Lake St Louis
State
Missouri
Zip
63367-1378
Phone Number
636-625-1225
Fax Number
636-625-1228
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2003013106 (Missouri)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
2003013106 (Missouri)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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