Provider Demographics
NPI:1437251402
Name:BOSCIA, PAUL N (DMD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:N
Last Name:BOSCIA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:N KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-5115
Mailing Address - Country:US
Mailing Address - Phone:401-295-8806
Mailing Address - Fax:401-295-8828
Practice Address - Street 1:181 W MAIN ST
Practice Address - Street 2:
Practice Address - City:N KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-5115
Practice Address - Country:US
Practice Address - Phone:401-295-8806
Practice Address - Fax:401-295-8828
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDEN025741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice