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KENTON BOSCH DDS
NPI 1740115120
Dentist - General Practice in Nipomo, CA

Active since June 16, 2026
255 N WILSON ST STE D, NIPOMO, CA 93444(805) 929-3219 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenton Bosch Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENTON BOSCH DDS (NPI 1740115120) is an individual general practice provider in Nipomo, California, licensed in California (113026) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1740115120
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKENTON BOSCHCredential: DDS
Location Address255 N WILSON ST STE DNipomo, CA 93444-7830
Mailing Address365 S Las Flores DrNipomo, CA 93444-9167
Phone(805) 929-3219
Sole ProprietorNo
Enumeration DateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1740115120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 113026
Definition
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.
255 N WILSON ST STE D, Nipomo, CA 93444
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIPOMO DENTAL GROUP OF ANDREW YOUNG DDS INC
Clinic/Center (Dental)
255 N WILSON ST STE D
NIPOMO, CA 93444
San Luis Obispo County (805) 270-9322
TENGGREN DENTAL CORP
Dentist (General Practice)
255 N WILSON ST STE D
NIPOMO, CA 93444
San Luis Obispo County (805) 929-3219
DR. STUART P TENGGREN D.D.S.
Dentist (General Practice)
255 N WILSON ST STE D
NIPOMO, CA 93444
San Luis Obispo County (805) 929-3219

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 Kenton Bosch's NPI number?

The NPI number for Kenton Bosch is 1740115120. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Where is Kenton Bosch located?

Kenton Bosch practices at 255 N Wilson St Ste D, Nipomo, CA 93444. The listed phone number is (805) 929-3219.

What is Kenton Bosch's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kenton Bosch was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.