Individual provider · Type 1 NPI

Charles G. Bode, DMD

Oral and Maxillofacial Surgery (Dentist) · Glendale, AZ

NPI number 1649375106 Active

Practice location

5750 W Thunderbird Rd, H-850
Glendale, AZ 85306-4660

Fax (602) 547-0528

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2579 (AZ)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1649375106

Charles G. Bode, DMD's National Provider Identifier is 1649375106, issued on Sep 13, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Glendale, AZ. The record was last updated on Jul 8, 2007.