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Molly Bodendorfer, DDS

Dentist, Orthodontics and Dentofacial Orthopedics in Omaha, NE. Individual provider (NPI-1).

NPI number1306200167
StatusActive
Last updated in NPPESOct 13, 2023

Details

NPI
1306200167
Entity type
Individual (NPI-1)
Name
Molly Bodendorfer
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 7, 2016
Certification date
Oct 13, 2023
Last updated
Oct 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics7768NEYes
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics021.003036IL
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2410 S 73rd St
Omaha, NE 68124-2395

Phone 402-819-4977

Mailing address

365 N Halsted St Apt 902
Chicago, IL 60661-1374

Phone 316-655-3731

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Other Orthodontics and Dentofacial Orthopedics Dentistry providers in Omaha, NE

All 49 Orthodontics and Dentofacial Orthopedics Dentistry providers in Omaha · All 40,392 providers in Omaha

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