Individual provider · Type 1 NPI

Matthew James Boscia, D.M.D

General Practice Dentistry · Lake St. Louis, MO

NPI number 1043540552 Active

Practice location

15 Lakeside Dr
Lake St. Louis, MO 63367-1378

Fax (636) 625-1228

Mailing address

15 Lakeside Dr Ste A
Lake St. Louis, MO 63367-1378

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000X2003013106 (MO)
General Practice Dentistry Primary 1223G0001X2003013106 (MO)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1043540552

Matthew James Boscia, D.M.D's National Provider Identifier is 1043540552, issued on Jan 5, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lake St. Louis, MO. The record was last updated on Dec 4, 2018.