IndividualActive
Andrew Bosworth, D.D.S.
NPI 1962850784 · Dentist · Excelsior, MN
Provider details
- NPI number
- 1962850784
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D13677 (MN)
Practice location
6140 Lake Linden Dr
Suite #230
Excelsior, MN 55331-2954
Phone: (952) 474-4123
Mailing address
6140 Lake Linden Dr
Excelsior, MN 55331-2954
Registry dates
- Enumerated
- 2016-06-02
- Last updated
- 2016-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.