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NPI Code Detail

MEDICARE: DR. KATIE BOSWELL DDS, MSD

MEDICARE: DR. KATIE BOSWELL DDS, MSD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics DentistryDEN.00204526CO

General Provider Information

NPI Number : 1457130874
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATIE BOSWELL DDS, MSD
Provider Business Mailing Address
First Line : 8561 E DRY CREEK PL
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-2701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5392 S WADSWORTH BLVD UNIT 103
Second Line :
City : LAKEWOOD
State : CO
Zip : 80123-1271
Country : US
Telephone Number : 303-979-4277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2023
Last Update Date : 09/25/2023

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Directions to “ DR. KATIE BOSWELL DDS, MSD” Practice Location

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