Mr. Kelly B Bosworth
DDS 9311 | Dentist
24000 Hwy 7, Suite 120 Kelly Bosworth Family Dentistry, Shorewood
Minnesota, 55331
952-474-4123 952-401-3482
Maps & DirectionsMr. Kelly B Bosworth is a Shorewood, Minnesota based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. Kelly B Bosworth is
9311 for Dentistry in Minnesota. His current practice location is
24000 Hwy 7, Suite 120 Kelly Bosworth Family Dentistry, Shorewood. Patients can reach him at
952-474-4123.
Mr. Kelly B Bosworth is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mr. Kelly B Bosworth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mr. Kelly B Bosworth |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS 9311 |
| Accepts Medicare Assignment: | No |
| Practice Address: | 24000 Hwy 7, Suite 120 Kelly Bosworth Family Dentistry, Shorewood,
Minnesota, 55331 |
| Phone: | 952-474-4123 |
| Fax: | 952-401-3482 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1174615306 |
| NPI Enumeration Date: | 28 Sep, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Kelly B Bosworth are as mentioned below.
| License Number | Specialization | State | Status | |
| 9311 | Dentistry | Minnesota | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 24000 Hwy 7, Suite 120 Kelly Bosworth Family Dentistry
Shorewood, Minnesota |
| Zip: | 55331 |
| Phone Number: | 952-474-4123 |
| Fax Number: | 952-401-3482 |
Patients can reach Mr. Kelly B Bosworth at
24000 Hwy 7, Suite 120 Kelly Bosworth Family Dentistry, Shorewood, Minnesota or can
call to book an appointment on 952-474-4123.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.