Individual provider · Type 1 NPI

Kenneth Jude Bodnar, DDS

Periodontics · Rocky River, OH

NPI number 1407907421 Active

Practice location

21851 Center Ridge Rd
Rocky River, OH 44116-3976

Call (440) 331-3044 Map

Fax (440) 356-7033

Mailing address

1362 River Ridge Oval
Hinckley, OH 44233-9752

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X30017249 (OH)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1407907421

Kenneth Jude Bodnar, DDS's National Provider Identifier is 1407907421, issued on Jan 16, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Rocky River, OH. The record was last updated on Jul 8, 2007.