BRENDA BOSWORTH
NPI 1386014140
Advanced Practice Dental Therapist in Port Allegany, PA
About Brenda Bosworth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENDA BOSWORTH (NPI 1386014140) is an individual advanced practice dental therapist in Port Allegany, Pennsylvania, licensed in Pennsylvania (PHDH000015) and active in the NPI registry since October 2015.
NPPES Registry Identity
Specialties & Licenses
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.
The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brenda Bosworth's NPI number?
The NPI number for Brenda Bosworth is 1386014140. It was assigned to this individual provider in the NPPES registry on October 5, 2015.
Where is Brenda Bosworth located?
Brenda Bosworth practices at 686 Two Mile Rd, Port Allegany, PA 16743. The listed phone number is (814) 642-2732.
What is Brenda Bosworth's specialty?
The primary specialty registered for this NPI is Advanced Practice Dental Therapist with taxonomy code 125K00000X.
When was this NPI record last updated?
The NPPES record for Brenda Bosworth was last updated on October 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brenda Bosworth · NPI 1386014140
Advanced Practice Dental Therapist provider in Port Allegany, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 5, 2015.
## Identity
- **NPI:** 1386014140 (Entity type: Individual)
- **Enumerated:** October 5, 2015
- **Primary specialty:** Advanced Practice Dental Therapist · taxonomy 125K00000X
- **State license:** PHDH000015 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 686 TWO MILE RD, Port Allegany, PA 16743-5018
- **Phone:** (814) 642-2732
## Record status
- **NPPES last updated:** October 5, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1386014140) · Data from the CMS NPPES public registry.