SearchTexasGeneral Practice Dentistry

Mark Bodenheim, DDS

NPI 1417914565 · on the registry since 2006

Practice

Address
2410 Stanley Rd
Suite 200j
Fort Sam Houston, TX 78234
Phone
(210) 295-2743
Fax
(210) 295-2602
Clinicians at this address
21

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13
Status
Not present in the most recent federal file

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 Texas