Boss Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BOSS DENTISTRY LLC

Practice address

553 Shiloh Pike
Bridgeton, NJ 08302-1405

Phone

(856) 451-9064

Fax

(856) 451-8414

NPI assigned

Oct 15, 2018

Last updated

Oct 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard W. Boss Jr., DMDNPI 1669521118

Title

Owner

Phone

(856) 451-9064

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Willet Boss Jr., D.M.D.

  • Dentist
  • Bridgeton, NJ
  • NPI 1669521118
  NPD (past) Authorized official
• Christopher James Virunurm, DMD

  • Dentist
  • Bridgeton, NJ
  • NPI 1104392471
  NPD (past)

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1477029742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 SHILOH PIKE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021405",
            "telephone_number": "856-451-9064",
            "fax_number": "856-451-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 SHILOH PIKE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021405",
            "telephone_number": "856-451-9064",
            "fax_number": "856-451-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSS DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "BOSS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-451-9064",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BKT High Quality Healthcare Agency (Dignity Nursing & Staffing Solutions)
• BKT High Quality Healthcare Agency LLC (Dignity Nursing Solutions)
• Theresa L Black, LPC, NCC, ACS
• Kathryn V Blackwell, D.O.
• Christina Bocco, PHARM.D.
• Richard Willet Boss Jr., D.M.D.
• Melissa Bott
• Tarrah Bowick, LCSW
• Melissa Bradley, APN
• Anna K Brecht, PHARMACIST

• Dental Clinic/Center in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.