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Search › Idaho › 122300000X

Chad Bodily

NPI 1366857161 · on the registry since 2014 · sole proprietor

Practice

Address
425 N Overland Ave
Burley, ID 83318
Phone
(208) 430-9555
Organisation at this address
Seasons Dental
Bodily Brothers Dental
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-14

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