Charles G Bode in Glendale - Oral And Maxillofacial Surgery

Charles G Bode - NPI 1649375106

Charles G Bode is a Oral And Maxillofacial Surgery in Glendale, Arizona. Charles G Bode practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Charles G Bode is 1649375106. The last update date is 2007-07-08.

Charles G Bode's current location address is 5750 W Thunderbird Rd, Glendale, Arizona. You can contact this provider via phone number 6029380880 and fax number 6025470528. The mailing address for Charles G Bode is 5750 W Thunderbird Rd, Glendale, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles G Bode
Address 5750 W Thunderbird Rd, Glendale, Arizona
Phone Number 6029380880
Fax Number 6025470528
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1649375106
Provider Enumeration Date 2006-09-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5750 W Thunderbird Rd
City Glendale
State Arizona (AZ)
Post Code 853064660
Phone Number 6029380880
Fax Number 6025470528

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 2579
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
AZ0116750 AZ BCBS
823999 AZ UNITED CONCORDIA
82115 AZ CMDP

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FAQs about Charles G Bode

What is the unique identifier code issued to Charles G Bode by the Centers for Medicare & Medicaid Services (CMS)?

The Charles G Bode has been assigned the NPI (National Provider Identifier) 1649375106. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Charles G Bode is located?

The Charles G Bode is situated at the following address: 5750 W Thunderbird Rd, Glendale, AZ, 853064660.

What is the area of specialization for Charles G Bode, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Charles G Bode is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.

On what date was the 1649375106 assigned to Charles G Bode?

The Charles G Bode was issued its 1649375106 on 2006-09-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Charles G Bode last refreshed?

The information related to the Charles G Bode, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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