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Contact Information

JUSTIN B BODEKER, DDS
40 MITCHELL RD
BATESVILLE, AR72501
 Phone: 870-926-5102
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JUSTIN B BODEKER · (Male)

NPI Number 1386026417
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/25/2015
Last updated 10/21/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 4054
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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