OrganizationActive
Kelly Bosworth, DDS, Inc
NPI 1518125160 · General Practice Dentistry · Excelsior, MN
Kelly Bosworth, DDS, Inc is a General Practice Dentistry organization in Excelsior, MN (NPI 1518125160).
Provider details
- NPI number
- 1518125160
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Keriann German, Financial Coordinator(952) 474-4123
- License
- 9311 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6140 Lake Linden Dr
Suite 230
Excelsior, MN 55331-2954
Phone: (952) 474-4123
Fax: (952) 401-3482
Street-level locationGet directions
Mailing address
6140 Lake Linden Dr
Excelsior, MN 55331-2954
Registry dates
- Enumerated
- 2008-05-30
- Last updated
- 2008-05-30
Frequently asked questions
- What is Kelly Bosworth, DDS, Inc's NPI number?
- Kelly Bosworth, DDS, Inc's National Provider Identifier (NPI) is 1518125160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelly Bosworth, DDS, Inc?
- Kelly Bosworth, DDS, Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kelly Bosworth, DDS, Inc located?
- Kelly Bosworth, DDS, Inc's practice location on file with NPPES is 6140 Lake Linden Dr, Excelsior, MN 55331-2954.
- What is Kelly Bosworth, DDS, Inc's phone number?
- The practice phone number listed in the NPPES registry for Kelly Bosworth, DDS, Inc is (952) 474-4123.
- Who is the authorized official for Kelly Bosworth, DDS, Inc?
- The authorized official listed on Kelly Bosworth, DDS, Inc's NPPES record is Keriann German, Financial Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelly Bosworth, DDS, Inc's NPI active?
- Yes — Kelly Bosworth, DDS, Inc's NPI (1518125160) is active in the NPPES registry as of the last update on 2008-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.