Dwayne M. Bodie, Dmd, Pc

LBN: Dwayne M. Bodie, Dmd, Pc
Dwayne M. Bodie, Dmd, Pc is an health care organization with primary practice located at 311 N Midland Ave , Nyack NY 10960-1627. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dwayne M. Bodie, Dmd, Pc can be contacted via phone (845) 358-5110, or through Bodie, Dwayne M via phone (845) 358-5110.

Contact Information

Primary practice address
311 N Midland Ave Nyack NY 10960-1627
Phone: (845) 358-5110
Fax: (845) 358-6740
Website:
Map and Directions
Authorized official contact:
Name: Bodie, Dwayne M Doctor of Dental Medicine (DMD)
Phone: (845) 358-5110

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 053605 New York

Profile Details

NPI number 1619101839
LBN Legal business name Dwayne M. Bodie, Dmd, Pc
DBA Doing business as
Authorized official Bodie, Dwayne M Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2009
Last updated May 4th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619101839 NPPES
New York MEDICAID 02982507

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