Individual
BENJAMIN BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5050 GREAT OAK CT, FORT WAYNE, IN 46825-1820
(260) 490-3495
Mailing address
5050 GREAT OAK CT, FORT WAYNE, IN 46825-1820
(260) 490-3495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014738A
IN
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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