Mandy Kay-Marie Boese, DDS

General Practice Dentistry · Superior, WI

Individual Active NPI

NPI number 1730865122

Practice location

1507 Tower Ave Ste 410
Superior, WI 54880-2562
Phone
(715) 392-6213

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NPI record

NPI
1730865122
Entity type
Individual (Type 1)
Enumeration date
June 22, 2023
Last updated
June 22, 2023
Certified
June 22, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6001206-15 WI

Mailing address

1023 Central Ave
Superior, WI 54880-6224
Phone
(715) 513-0240

About Dr. Boese

Mandy Kay-Marie Boese, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1507 Tower Ave Ste 410, Superior, WI 54880-2562. The NPI number 1730865122 was assigned on June 22, 2023 and the record was last updated on June 22, 2023.

Dr. Boese lists a license in the registry: #6001206-15 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mandy Kay-Marie Boese, DDS?

The NPI number is 1730865122.

What is the phone number of Dr. Boese?

The phone number listed for the practice location is (715) 392-6213.

Where is Dr. Boese located?

1507 Tower Ave Ste 410, Superior, WI 54880-2562.

What is the taxonomy code for Dr. Boese?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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