Individual
DR. HENRY CLAY BODDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 CHICAGO AVE, OAK PARK, IL 60302-2432
(708) 948-7744
Mailing address
2023 W IOWA ST APT 2R, CHICAGO, IL 60622-5893
(314) 601-1950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.036332
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2025
Last updated
07/21/2025
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