Neal Bozentka D.M. D

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

DS027359L Issued in PA

Legal business name

NEAL BOZENTKA D.M. D

Practice address

700 S Chester Rd
Swarthmore, PA 19081-2224

Phone

(610) 328-0773

Fax

(610) 328-6859

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Mariann Smith

Title

Office Manager

Phone

(610) 328-0773

Specialties & licenses 1

Addresses

Locations

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.

• Neal Edward Bozentka, D.M.D.

  • Oral and Maxillofacial Pathology Dentistry
  • Swarthmore, PA
  • NPI 1700825056
  NPD (past)
• Michelle Paula Skettini

  • Oral and Maxillofacial Surgery (Dentist)
  • Brooklyn, NY
  • NPI 1093336257
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790803583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SOUTH CHESTER ROAD",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "19081",
            "telephone_number": "610-328-0773",
            "fax_number": "610-328-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S CHESTER RD",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812224",
            "telephone_number": "610-328-0773",
            "fax_number": "610-328-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL BOZENTKA D.M. D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARIANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-328-0773",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "PA",
            "license": "DS027359L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Broughton Milbourne, PSY.D.
• Laura Minsk-Karellos, D.M.D.
• Nicholle Moore
• Move Well LLC
• Elizabeth Henshaw Musewicz, MS, LPC
• New Foundations, Inc.
• Tuyet Thanh Nguyen, LCSW
• Optimum Physical Therapy Associates, P.C.
• Pamela Orr
• Jennifer S Oshen, M.A. CCC-SLP

• Oral and Maxillofacial Pathology Dentistry in Swarthmore, PA
• Providers in Swarthmore, PA by specialty
• Oral and Maxillofacial Pathology Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.