Individual
DR. TIMOTHY EUGENE BODEY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6345
(800) 325-3982
(877) 685-9866
Mailing address
4532 SHORT MOUNTAIN RD, MC MINNVILLE, TN 37110-4768
(931) 939-3525
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS0000004234
TN
Other
Enumeration date
12/01/2005
Last updated
07/08/2007
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