| Rupert W. Bosley, Dds Pa | |
|
16920 National Hwy Sw Frostburg MD 21532-3306 | |
| (301) 689-3677 | |
| (301) 689-3477 |
| Full Name | Rupert W. Bosley, Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 16920 National Hwy Sw, Frostburg, Maryland |
| Authorized Official Name and Position | Rupert Winston Bosley (DENTIST/OWNER) |
| Authorized Official Contact | 3016893677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rupert W. Bosley, Dds Pa 16920 National Hwy Sw Po Box 284 Frostburg MD 21532-3306 Ph: (301) 689-3677 | Rupert W. Bosley, Dds Pa 16920 National Hwy Sw Frostburg MD 21532-3306 Ph: (301) 689-3677 |
| NPI Number | 1891082038 |
|---|---|
| Provider Enumeration Date | 07/08/2011 |
| Last Update Date | 07/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891082038 | NPI | - | NPPES |
| 001284000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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