Boscia, Matthew James

Boscia, Matthew James is an sole proprietor health care provider with primary practice located at 15 Lakeside Dr , Lake St Louis MO 63367-1378. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Boscia, Matthew James can be contacted via phone (636) 625-1225.

Contact Information

Primary practice address
15 Lakeside Dr Lake St Louis MO 63367-1378
Phone: (636) 625-1225
Fax: (636) 625-1228
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 2003013106 Missouri
Dental Providers / General Practice 1223G0001X 2003013106 Missouri

Profile Details

NPI number 1043540552
LBN Legal business name Boscia, Matthew James
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2010
Last updated Dec 4th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers