Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kenneth G Boberick, DMD

Individual provider Dentist · NPI 1336370147

Dr. Kenneth G Boberick, DMD is a Dentist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2009
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3223 N Broad St
Philadelphia, PA 19140-5007
Phone: (215) 707-7708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS024677L (PA)

Record details

NPI number1336370147
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 29, 2009
Last updated in NPPESJuly 29, 2009

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