Boswell, Matt Harrison

Boswell, Matt Harrison is an individual health care provider with primary practice located at 3057 College Heights Blvd , Allentown PA 18104-4875. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Boswell, Matt Harrison can be contacted via phone (610) 433-2357.

Contact Information

Primary practice address
3057 College Heights Blvd Allentown PA 18104-4875
Phone: (610) 433-2357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DS038763 Pennsylvania

Profile Details

NPI number 1972883288
LBN Legal business name Boswell, Matt Harrison
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2011
Last updated Jan 24th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972883288 NPPES
Pennsylvania Other DS038763 PENNSYLVANIA DENTAL LICENSE NUMBER

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