# NEAL BOZENTKA D.M. D

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790803583
- **Authorized official:** MICHAELA MUNIZ (VP, PAYOR RELATIONS)
- **Authorized official phone:** (469) 324-3242

## Contact information

- **Practice address:** 700 S CHESTER RD, SWARTHMORE, PA 19081-2224
- **Practice address phone:** (610) 328-0773
- **Practice address fax:** (610) 328-6859
- **Mailing address:** 700 S CHESTER RD STE A, SWARTHMORE, PA 19081-2224
- **Mailing address phone:** (610) 328-0773
- **Mailing address fax:** (610) 328-6859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | DS027359L | PA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS027359L | PA | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | — |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 10/07/2026