Daniel T Bodine DDS PC

Dentist · Worth, IL

Organization Active NPI

NPI number 1164500534

Practice location

11130 South Harlem Ave
Worth, IL 60482
Phone
(708) 448-6760
Fax
(708) 448-8869

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NPI record

NPI
1164500534
Entity type
Organization (Type 2)
Enumeration date
November 1, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — IL

Authorized official

Name
Dr. Daniel Thomas Bodine, DDS
Title
President
Phone
(708) 448-6760

About Daniel T Bodine DDS PC

Daniel T Bodine DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 11130 South Harlem Ave, Worth, IL 60482. The NPI number 1164500534 was assigned on November 1, 2006 and the record was last updated on August 22, 2020.

The authorized official for this organization is Dr. Daniel Thomas Bodine, DDS, President.

Frequently asked questions

What is the NPI number of Daniel T Bodine DDS PC?

The NPI number is 1164500534.

What is the phone number of Daniel T Bodine DDS PC?

The phone number listed for the practice location is (708) 448-6760.

Where is Daniel T Bodine DDS PC located?

11130 South Harlem Ave, Worth, IL 60482.

What is the taxonomy code for Daniel T Bodine DDS PC?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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