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Jordan Bodily, DMD
NPI 1356864847 · on the registry since 2017
Practice
- Address
- 1558 N Crestmont Dr
Meridian, ID 83642 - Phone
- (208) 519-3474
- Organisation at this address
- Cherry Lane Kids Dentistry
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho