Laura Bodnar

Primary specialty

DentistTaxonomy code 122300000X

License

DN31613 Issued in FL

Practice address

4675 E State Road 44 Ste 104
Wildwood, FL 34785-7461

Phone

(352) 418-3041

NPI assigned

Feb 13, 2024

Reactivated

Oct 9, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nguyen and Reagan Dental Corporation

  • General Practice Dentistry
  • Costa Mesa, CA
  • NPI 1881783637
  NPD (past)
• Wildwood Dentists, PA

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1770940769
  NPD (past)

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1750146312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 CROWN VILLAGE RD APT 402",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613748",
            "telephone_number": "732-877-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 E STATE ROAD 44 STE 104",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347857461",
            "telephone_number": "352-418-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNAR",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "deactivation_date": "2024-10-03",
        "reactivation_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN31613",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Bentley
• Best Meats LLC
• Best Value Healthcare LLC
• Bethsaida Healthcare System Inc
• Black Coach Transportation Services LLC
• Natasha Brooks, APRN
• Veronica Brown
• Carolyn Iretha Campbell
• Aubrey Canal, APRN
• Ermite Caris-Barlatier

• All providers in Wildwood, FL
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.