Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kelly B Bosworth, DDS9311

Individual provider Dentist · NPI 1174615306

Mr. Kelly B Bosworth, DDS9311 is a Dentist in Shorewood, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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Practice location Address checks out

24000 Hwy 7 Ste 120 Kelly Bosworth Family Dentistry
Shorewood, MN 55331
Phone: (952) 474-4123
Fax: (952) 401-3482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9311 (MN)

Record details

NPI number1174615306
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS9311
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJuly 8, 2007