Bode, Charles G

Bode, Charles G is an individual health care provider with primary practice located at 5750 W Thunderbird Rd H-850, Glendale AZ 85306-4660. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bode, Charles G can be contacted via phone (602) 938-0880.

Contact Information

Primary practice address
5750 W Thunderbird Rd H-850 Glendale AZ 85306-4660
Phone: (602) 938-0880
Fax: (602) 547-0528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2579 Arizona

Profile Details

NPI number 1649375106
LBN Legal business name Bode, Charles G
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649375106 NPPES
Arizona Other AZ0116750 BCBS
Arizona Other 823999 BCBS
Arizona Other 082115 BCBS

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