Jason Bodnar in Clyde - General Practice

Jason Bodnar - NPI 1538181706

Jason Bodnar is a General Practice in Clyde, North Carolina. Jason Bodnar practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jason Bodnar is 1538181706. The last update date is 2013-10-02.

Jason Bodnar's current location address is 103 Haywood Park Dr, Clyde, North Carolina. You can contact this provider via phone number 8286271050 and fax number 8286271056. The mailing address for Jason Bodnar is 103 Haywood Park Dr, Clyde, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason Bodnar
Address 103 Haywood Park Dr, Clyde, North Carolina
Phone Number 8286271050
Fax Number 8286271056
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1538181706
Provider Enumeration Date 2006-07-24
Last Updated Date 2013-10-02

Provider Mailing Address Detail

Address 103 Haywood Park Dr
City Clyde
State North Carolina (NC)
Post Code 287214405
Phone Number 8286271050
Fax Number 8286271056

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7956
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9025V NC BCBS
1702701 PA UNITED CONCORDIA
5901866 NC --

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FAQs about Jason Bodnar

What is the unique 10-digit identification code assigned to Jason Bodnar by the Centers for Medicare & Medicaid Services?

The Jason Bodnar has been issued the NPI (National Provider Identifier) 1538181706, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jason Bodnar's facilities are situated?

The facilities of Jason Bodnar are physically located at the following address: 103 Haywood Park Dr, Clyde, NC, 287214405.

What is Jason Bodnar's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jason Bodnar's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1538181706 to Jason Bodnar?

The Centers for Medicare & Medicaid Services assigned the 1538181706 to Jason Bodnar on 2006-07-24.

When was the information pertaining to Jason Bodnar most recently updated or revised?

The details related to Jason Bodnar, including its address, specialty, and other relevant information, were last updated or revised on 2013-10-02.

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