Boschetti, Anthony M

Boschetti, Anthony M is an individual health care provider with primary practice located at 532 Sumner Ave , Springfield MA 01108-2458. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Boschetti, Anthony M can be contacted via phone (413) 739-1100.

Contact Information

Primary practice address
532 Sumner Ave Springfield MA 01108-2458
Phone: (413) 739-1100
Fax: (413) 737-3608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 14919 Massachusetts

Profile Details

NPI number 1396958195
LBN Legal business name Boschetti, Anthony M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jul 9th, 2007 - about 18 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 1396958195 NPPES
Massachusetts Other 9185028 DORAL DENTAL PROVIDER ID
Massachusetts MEDICAID 1310097 DORAL DENTAL PROVIDER ID

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