Martin K. Bodden, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3995 Issued in AL

Practice address

351 W. 6TH St Attn: Nancy Posey-Credentials
BLDG 440, Suite 18
Ft Stewart, GA 31314-4704

Phone

(912) 767-6735

Fax

(912) 767-5425

NPI assigned

Sep 15, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1558694018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 W. 6TH ST ATTN: NANCY POSEY-CREDENTIALS",
            "address_2": "BLDG 440, SUITE 18",
            "city": "FT STEWART",
            "state": "GA",
            "postal_code": "313144704",
            "telephone_number": "912-767-6735",
            "fax_number": "912-767-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W. 6TH ST ATTN: NANCY POSEY-CREDENTIALS",
            "address_2": "BLDG 440, SUITE 18",
            "city": "FT STEWART",
            "state": "GA",
            "postal_code": "313144704",
            "telephone_number": "912-767-6735",
            "fax_number": "912-767-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDEN",
        "first_name": "MARTIN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Blevins
• Dennis James Blue Jr., P.A.
• Georgina Elise Boardley, PA-S
• Harry Nick Bobotis, DMD
• Kevin Lee Bock II, DMD
• April Boecker
• Kathleen Weiher Boggess, LCSW
• Debra Ann Bohannon
• Amber-Lee Hester Bonanni, RDH
• Sandra Eileen Bone, PA-C

• General Practice Dentistry in Ft Stewart, GA
• Providers in Ft Stewart, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.