David Allan Bodie, DMD
Individual provider Active NPI General Practice Dentistry · Mount Pleasant, SC
NPI 1033404124 · NPPES record last updated Jun 16, 2011
Key facts
- NPI
- 1033404124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7009 (SC)
- Practice address
- 929 Bowman Rd Ste 100
Mount Pleasant, SC 29464-3237 - Phone
- (843) 971-0661
- Fax
- (843) 971-5219
- NPI assigned
- Jun 16, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7009 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossland Dental Associates, Inc. | General Practice | Past | Accepting new patients |
| Crossland and Bodie Dental Associates LLC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7009 | SC | Yes |
Addresses
Primary practice location
929 Bowman Rd Ste 100
Mount Pleasant, SC 29464-3237
Mailing address
929 Bowman Rd Ste 100
Mount Pleasant, SC 29464-3237
Phone (843) 971-0661
Other providers in Mount Pleasant, SC
- Briana G Bluemel
- Ashlin Blum
- Sylvia Davis Blyth
- Barbara S Boatwright
- Cynthia Boatwright
- David Bradley Bodkin
- Leah Boepple
- Ilah Boggs
- Laura Bogue
- Ellesse Boiwka
All providers in Mount Pleasant, SC · General Practice Dentistry in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.