Timothy Eugene Bodey Sr., DDS

Endodontics · Saint Louis, MO

Individual Active NPI

NPI number 1366426512

Practice location

12647 Olive Blvd
Suite 600
Saint Louis, MO 63141-6345
Phone
(800) 325-3982
Fax
(877) 685-9866

Open in Google Maps

NPI record

NPI
1366426512
Entity type
Individual (Type 1)
Enumeration date
December 1, 2005
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X DS0000004234 TN

Mailing address

4532 Short Mountain Rd
MC Minnville, TN 37110-4768
Phone
(931) 939-3525

About Dr. Bodey

Timothy Eugene Bodey Sr., DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 12647 Olive Blvd, Suite 600, Saint Louis, MO 63141-6345. The NPI number 1366426512 was assigned on December 1, 2005 and the record was last updated on July 8, 2007.

Dr. Bodey lists a license in the registry: #DS0000004234 (TN) for Endodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Timothy Eugene Bodey Sr., DDS?

The NPI number is 1366426512.

What is the phone number of Dr. Bodey?

The phone number listed for the practice location is (800) 325-3982.

Where is Dr. Bodey located?

12647 Olive Blvd, Suite 600, Saint Louis, MO 63141-6345.

What is the taxonomy code for Dr. Bodey?

The primary taxonomy code is 1223E0200X – Endodontics.

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.

Other Endodontics providers in Saint Louis

All Endodontics providers in Saint Louis, MO →