DR. KYLE BOSK (NPI# 1104230804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104230804 |
| Entity Type | Individual |
| Full Name | DR. KYLE BOSK |
| Credential | DMD |
| Practice Address |
429 S Lincoln Rd Escanaba MI 49829-1210 |
| Practice Telephone | 9067867878 |
| Practice Fax Number | 9067860548 |
| Mailing Telephone | 9067867878 |
| Mailing Fax Number | 9067860548 |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901021293 | MI | Dental Providers |
| Street Address |
429 S LINCOLN RD |
| City | ESCANABA |
| State | MI |
| Zip Code | 49829-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619991213 | Dr Paul J Jacobs Dds PC | Dentist | 429 S Lincoln Rd, Escanaba, MI 49829-1210 | 2006-07-27 |
| 1629402839 | Linda Chan-jacobs | Dentist | 429 S Lincoln Rd, Escanaba, MI 49829-1210 | 2013-08-23 |
| 1326274820 | Paul Jerold Jacobs | Dentist | 429 S Lincoln Rd, Escanaba, MI 49829-1210 | 2009-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192510 | Haas Hearing Pllc | Audiologist | 423 Ludington Street, Escanaba, MI 49829 | 2020-07-28 |
| 1104308535 | Lindsay Hope Hall | Occupational Therapist | 2415 5th Ave, Escanaba, MI 49829 | 2018-09-01 |
| 1962941260 | Amber Joy Quigley | Speech-Language Pathologist | 300 Willow Creek Road, Escanaba, MI 49829 | 2017-02-20 |
| 1316377799 | Michelle M Holochwost | Physical Therapist | 501 S. Lincoln Road, Escanaba, MI 49829 | 2013-11-20 |
| 1518304179 | Megan Haas | Audiologist | 423, Suite 1, Escanaba, MI 49829 | 2013-05-22 |
| 1063768422 | Stacey Lynn Cole | Nurse Practitioner | 3409 Ludington St Ste 104, Escanaba, MI 49829 | 2012-08-03 |
| 1407177678 | Sarah Jean Nault | Physical Therapist | 501 S. Lincoln Rd, Escanaba, MI 49829 | 2010-06-22 |
| 1851572960 | James Brian Hull | Occupational Therapist | 2415 Fifth Avenue South, Escanaba, MI 49829 | 2007-11-16 |
| 1497942841 | Anne M Stein | Nurse Practitioner | 7100 Co. Rd. 426, Escanaba, MI 49829 | 2007-10-01 |
| 1083813703 | Michael Czerkes | Obstetrics & Gynecology | 3409 Ludington St Ste 204, Escanaba, MI 49829 | 2007-07-12 |
| Find all providers in zip 49829 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194946418 | Great Smile Dentistry | Dentist | 2201 Ludington St, Escanaba, MI 49829-2322 | 2007-05-02 |
| 1649312703 | Perry Charles Uhazie | Dentist | 2700 5th Ave. S., Doctors Park #204, Escanaba, MI 49829-9829 | 2007-02-13 |
| 1043310113 | Bruce R Carlyon | Dentist | 1106 1st Ave S, Escanaba, MI 49829-3411 | 2006-09-25 |
| 1003826223 | Raluca Stuleanu | Dentist | 1100 1st Ave N, Escanaba, MI 49829 | 2006-08-09 |
| 1487677688 | Annette E Dufour | Dentist | 1100 1st Ave N., Escanaba, MI 49829 | 2006-07-26 |
| 1639191497 | Gary William Bradley | Dentist | 1100 1st Ave No, Escanaba, MI 49829 | 2006-07-24 |
| 1568466894 | Eric William Knudsen | Dentist | 1830 Ludington St, Escanaba, MI 49829-2739 | 2005-06-01 |
| 1942819420 | Bruce R Carlyon Dds | Dentist | 1106 1st Ave S, Escanaba, MI 49829-3411 | 2020-07-30 |
| 1851569859 | Randy Bogaudo | Dentist | 2201 Ludington St, Escanaba, MI 49829-2322 | 2008-02-13 |
| 1275759813 | Donald J. Pfotenhauer Dds PC | Dentist | 2500 7th Ave S, Doctors Park Suite 216, Escanaba, MI 49829-1176 | 2007-04-18 |
| Find all providers in ESCANABA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.