Individual provider · Type 1 NPI
Brenda Bosworth
Advanced Practice Dental Therapist · Port Allegany, PA
Practice location
686 Two Mile Rd
Port Allegany, PA 16743-5018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Advanced Practice Dental Therapist Primary | 125K00000X | PHDH000015 (PA) |
Advanced Practice Dental Therapist: An Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability f…
About NPI 1386014140
Brenda Bosworth's National Provider Identifier is 1386014140, issued on Oct 5, 2015. The primary taxonomy on file is Advanced Practice Dental Therapist (125K00000X), and the practice location is in Port Allegany, PA. The record was last updated on Oct 5, 2015.