Individual provider · Type 1 NPI

Trevor Paul Bodine, DDS MS

Orthodontics and Dentofacial Orthopedics Dentistry · Prosper, TX

NPI number 1467723684 Active

Practice location

821 N Coleman St, Suite 110
Prosper, TX 75078-2303

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X27765 (TX)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1467723684

Trevor Paul Bodine, DDS MS's National Provider Identifier is 1467723684, issued on Jan 19, 2012. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Prosper, TX. The record was last updated on Apr 2, 2013.