Bosch Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BOSCH DENTAL PLLC

Practice address

2680 Snelling Ave N
Roseville, MN 55113-1876

Phone

(651) 488-5557

NPI assigned

Jan 9, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Riley Bosch, DDSNPI 1770877268

Title

Owner/Dentist

Phone

(651) 336-7789

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Riley Bosch, D.D.S.

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1770877268
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1396385175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 SNELLING AVE N STE 280",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131877",
            "telephone_number": "651-488-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 SNELLING AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131876",
            "telephone_number": "651-488-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSCH DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "BOSCH",
        "authorized_official_first_name": "RILEY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "651-336-7789",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nukunu Boley, RN
• Francis Bonaldo Begnoche, L.AC.
• Bilqisa Booker
• Linda M Borgen, RN
• Lisa M Borneman, DSW, MSW, LICSW
• Angela Boston
• BPK Professionals, LLC
• Jeffrey Rex Brace, M.D.
• Jessica Lynn Bracken, BCBA
• Carissa Kay Bradley

• Dental Clinic/Center in Roseville, MN
• Providers in Roseville, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.