IndividualActive
Kenneth Bosacco, DDS
NPI 1962551507 · General Practice Dentistry · Chester, PA
Kenneth Bosacco, DDS is a General Practice Dentistry provider in Chester, PA (NPI 1962551507).
Provider details
- NPI number
- 1962551507
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DS018650L (PA)
Practice location
616 Avenue of the States
Chester, PA 19013-4215
Phone: (610) 874-4316
Fax: (610) 874-9968
Street-level locationGet directions
Mailing address
616 Avenue of the States
Chester, PA 19013-4215
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.