Chad Bodily

Dentist · Burley, ID

Individual Active NPI

NPI number 1366857161

Practice location

425 N Overland Ave
Burley, ID 83318-3434
Phone
(208) 430-9555

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NPI record

NPI
1366857161
Entity type
Individual (Type 1)
Enumeration date
July 1, 2014
Last updated
August 14, 2025
Certified
August 14, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D-4600 ID

About Chad Bodily

Chad Bodily is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 425 N Overland Ave, Burley, ID 83318-3434. The NPI number 1366857161 was assigned on July 1, 2014 and the record was last updated on August 14, 2025.

Chad Bodily lists a license in the registry: #D-4600 (ID) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Chad Bodily?

The NPI number is 1366857161.

What is the phone number of Chad Bodily?

The phone number listed for the practice location is (208) 430-9555.

Where is Chad Bodily located?

425 N Overland Ave, Burley, ID 83318-3434.

What is the taxonomy code for Chad Bodily?

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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