Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Bosworth, DDS, Inc

Organization General Practice Dentistry · NPI 1518125160

Kelly Bosworth, DDS, Inc provides General Practice Dentistry in Excelsior, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6140 Lake Linden Dr Ste 230
Excelsior, MN 55331-2954 Not confirmed with CMS for 18 years — call before visiting
Phone: (952) 474-4123
Fax: (952) 401-3482
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9311 (MN)

Record details

NPI number1518125160
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keriann German — Financial Coordinator · (952) 474-4123
NPI enumeratedMay 30, 2008
Last updated in NPPESMay 30, 2008
Mailing address6140 Lake Linden Dr, Suite 230, Excelsior, MN 55331-2954

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