IndividualActive
Brenda Bosworth
NPI 1386014140 · Advanced Practice Dental Therapist · Port Allegany, PA
Provider details
- NPI number
- 1386014140
- Entity type
- Individual
- Primary specialty
- Advanced Practice Dental TherapistDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PHDH000015 (PA)
Mailing address
686 Two Mile Rd
Port Allegany, PA 16743-5018
Registry dates
- Enumerated
- 2015-10-05
- Last updated
- 2015-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.