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Contact Information

TIMOTHY E BODEY SR, DDS
12647 OLIVE BLVD
SUITE 600
SAINT LOUIS, MO63141-6345
 Phone: 800-325-3982
 Fax: 877-685-9866
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for TIMOTHY E BODEY SR · (Male)

NPI Number 1366426512
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/01/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TN License # DS0000004234
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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