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Travis T Bodily, DMD
General Practice Dentistry in Burley, Idaho
NPI 1518128933

Travis T Bodily is a General Practice Dentistry based in Burley, ID and is specialized in General Practice. Travis T Bodily practices in Burley, ID and has the professional credentials of DMD. The NPI Number for Travis T Bodily is 1518128933 and holds a License No. D-4151 (Idaho).

The current practice location address for Travis T Bodily is 425 North Overland Avenue, Burley, ID and can be reached out via phone at 208-679-1679 and via fax at 208-679-3679.

Location: 425 North Overland Avenue, Burley, ID, 83318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518128933
Provider Name
Travis T Bodily
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
425 North Overland Avenue, Burley, ID, 83318
Phone Number
208-679-1679
Fax Number
208-679-3679
Provider Enumeration Date
06/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
425 North Overland Avenue
City
Burley
State
Idaho
Zip
83318
Phone Number
208-679-1679
Fax Number
208-679-3679
person
Provider Business Mailing Address Details
Address
425 North Overland Avenue
City
Burley
State
Idaho
Zip
83318
Phone Number
208-679-1679
Fax Number
208-679-3679
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D-4151 (Idaho)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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