DR. KENNETH J BOSCH (NPI# 1568672442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568672442 |
| Entity Type | Individual |
| Full Name | DR. KENNETH J BOSCH |
| Credential | D.M.D. |
| Practice Address |
1050 Baltimore Pike Suite 4 Springfield PA 19064-2853 |
| Mailing Address |
8 Lian Dr West Chester PA 19382-6891 |
| Practice Telephone | 6105435996 |
| Practice Fax Number | 6105435129 |
| Mailing Telephone | 6107931453 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DS027974L | PA | Dental Providers |
| Street Address |
1050 BALTIMORE PIKE SUITE 4 |
| City | SPRINGFIELD |
| State | PA |
| Zip Code | 19064-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801836275 | Endodontic Associates Ltd. | Dentist | 1050 Baltimore Pike, Springfield, PA 19064-2853 | 2006-06-07 |
| 1720640444 | Springfield Endodontics, LLC | Dentist | 1050 Baltimore Pike, Springfield, PA 19064-2853 | 2019-07-02 |
| 1972813202 | William Hernz Md PC | Psychiatry & Neurology | 1050 Baltimore Pike, Springfield, PA 19064-2853 | 2010-10-20 |
| 1962714980 | Sweta Shah-saini | Dentist | 1050 Baltimore Pike, Endodontic Associates, Springfield, PA 19064-2853 | 2010-07-07 |
| 1447460332 | Deneen Brusamonti | Dentist | 1050 Baltimore Pike, Suite 4, Springfield, PA 19064-2853 | 2007-05-22 |
| 1831210699 | Elliot S Borden | Dentist | 1050 Baltimore Pike, Springfield, PA 19064-2853 | 2007-04-02 |
| 1265447072 | Steven Kalman Secunda | Psychiatry & Neurology | 1050 Baltimore Pike, Springfield, PA 19064-2853 | 2006-07-30 |
| 1922034750 | Frederic Howard Siegal | Dentist | 1050 Baltimore Pike, Springfield, PA 19064-2853 | 2006-06-23 |
| 1831125905 | Francine T Cwyk | Dentist | 1050 Baltimore Pike, Springfield Professional Park, Springfield, PA 19064 | 2006-06-23 |
| 1396788394 | James R. Granite | Dentist | 1050 Baltimore Pike, Springfield, PA 19064-2853 | 2006-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023513058 | Prospect Crozer Home Health and Hospice, LLC | Hospice Care, Community Based | 200 W. Sroul Road, Springfield, PA 19064 | 2018-03-30 |
| 1912369539 | Olga Burt | Physical Therapy Assistant | 146 Rose Lane, Springfield, PA 19064 | 2016-03-23 |
| 1124407309 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1745 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1477932655 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1755 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1003295288 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1765 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1427483742 | Casseys Optical Inc | Durable Medical Equipment & Medical Supplies | 139 S State Road, Springfield, PA 19064 | 2013-09-05 |
| 1184982225 | Ultimate Hearing Solutions II, LLC | Audiologist-Hearing Aid Fitter | 471 Baltimore Pike, Springfield, PA 19064 | 2012-04-26 |
| 1295091684 | Theresa Nolan | Registered Nurse | 194 West Sprould Road, Suite 105, Springfield, PA 19064 | 2012-04-10 |
| 1649551367 | Pa Center for Hearing and Balance, LLC | Hearing Aid Equipment | 760 W Sproul Road, Suite 103, Springfield, PA 19064 | 2011-09-08 |
| 1376864694 | Cynthia Lacapra | Family Medicine | 965 Baltimore Pike Ste B2, Springfield, PA 19064 | 2010-06-22 |
| Find all providers in zip 19064 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624307 | Deena Hadithi Dmd, PC. | Dentist | 7210 Old Keene Mill Rd Ste 3, Springfield, VA 22150-3442 | 2019-11-19 |
| 1487975231 | Anthony T Quinta | Dentist | 1795 Main St Ste 202, Springfield, MA 01103-1015 | 2010-06-16 |
| 1760624613 | Georges Traboulsi | Dentist | 5419 Backlick Rd., C, Springfield, VA 22151 | 2009-03-24 |
| 1346373347 | Jody Brian Vance | Dentist | 3331 E Montclair St Ste G, Springfield, MO 65804-4786 | 2007-03-13 |
| 1629130430 | John Bruno | Dentist | 6120 Brandon Ave Ste 211, Springfield, VA 22150-2504 | 2006-12-15 |
| 1952472011 | Timothy Brian Coffelt | Dentist | 301 N Fountain Ave, Springfield, OH 45504-2536 | 2006-11-12 |
| 1063424638 | Bruce S Wyman | Dentist | 6116 Rolling Road, Suite 312, Springfield, VA 22152-1512 | 2006-08-12 |
| 1295743318 | Brad Reese Burks | Dentist | 1355 E Bradford Pkwy Ste D, Springfield, MO 65804-4200 | 2006-08-04 |
| 1275058919 | Anthony T Quinta Dmd LLC | Dentist | 1795 Main Street, Suite 202, Springfield, MA 01103 | 2017-08-03 |
| 1871816389 | James William Davis | Dentist | 2025 W Iles Ave, Suite F, Springfield, IL 62704-4190 | 2010-03-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 19064 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.