Jaime R. Bodner, D.D.S.

General Practice Dentistry · Valley Stream, NY

Individual Active NPI

NPI number 1669523973

Practice location

45 Rockaway Pkwy
Valley Stream, NY 11580-4525
Phone
(516) 825-1261

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NPI record

NPI
1669523973
Entity type
Individual (Type 1)
Enumeration date
January 15, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 033396-1 NY

About Dr. Bodner

Jaime R. Bodner, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 45 Rockaway Pkwy, Valley Stream, NY 11580-4525. The NPI number 1669523973 was assigned on January 15, 2007 and the record was last updated on July 8, 2007.

Dr. Bodner lists a license in the registry: #033396-1 (NY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jaime R. Bodner, D.D.S.?

The NPI number is 1669523973.

What is the phone number of Dr. Bodner?

The phone number listed for the practice location is (516) 825-1261.

Where is Dr. Bodner located?

45 Rockaway Pkwy, Valley Stream, NY 11580-4525.

What is the taxonomy code for Dr. Bodner?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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