Individual provider · Type 1 NPI

Jordan Bodily, DMD

General Practice Dentistry · Meridian, ID

NPI number 1356864847 Active

Practice location

1558 N Crestmont Dr
Meridian, ID 83642-2192

Call (208) 519-3474 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD-5115 (ID)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1356864847

Jordan Bodily, DMD's National Provider Identifier is 1356864847, issued on Jul 17, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Meridian, ID. The record was last updated on Mar 12, 2024.