JORDAN BODILY, DMD
Dentist - General Practice
Active
Individual
NPI: 1356864847
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | D-5115 (ID) |
Frequently Asked Questions
NPI 1356864847 is the National Provider Identifier for JORDAN BODILY, DMD, a Dentist - General Practice provider located in Meridian, ID. This NPI was enumerated on July 17, 2017.
JORDAN BODILY, DMD practices at 1558 N CRESTMONT DR, Meridian, ID 83642.
Quick Facts
- NPI
- 1356864847
- Type
- Individual
- Enumerated
- Jul 17, 2017
- Last Updated
- Mar 12, 2024
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