Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154491496 Individual Practitioner Male Practitioner

Dr. Scott Marlin Bosacker , DDS

Dentist - General Practice • Lake Mills, IA

Professional Overview & Biography Verified Profile Summary

Dr. Scott Bosacker, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lake Mills, IA. Practice services are available at 206 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

206 E Main St

Lake Mills, IA 504501410

Telephone 6415921100
Fax 6415921103
Associated Practice Facility / Clinic
🏢 Lake Mills Family Dental Pc Facility NPI 1669828653

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lake Mills, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Lake Mills, IA (1303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA 6602

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00402610 (IA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Keith Johnson , DDS

Dentist - General Practice

NPI 1689762635

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 206 E MAIN ST, LAKE MILLS, IA 504501410 (Tel: 6415921100)

📍
Updated Business Mailing Address July 09, 2007

Registered at 206 E MAIN ST, LAKE MILLS, IA 504501410 (Tel: 6415921100)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as SCOTT BOSACKER, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #6602 in IA)

🟢
Initial NPI Registration & Enumeration November 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154491496
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

206 E Main St

Lake Mills, IA 504501410

Phone: 6415921100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.