Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH JUDE BODNAR, DDS
Active Sole ProprietorDR. KENNETH JUDE BODNAR, DDS is a Periodontology healthcare provider located in ROCKY RIVER, Ohio. NPI 1407907421 is currently active in the NPPES registry. Verify at CMS.
Periodontology · ROCKY RIVER, OH
Registration Details
- NPI Number
- 1407907421
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2007 (19.570830058422 yrs)
- Last Updated
- Jul 8, 2007
- License
-
30017249 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21851 CENTER RIDGE RDROCKY RIVER, OH, 441163976Browse OH providers · Browse ZIP 44116
- Phone
- 4403313044
- Fax
- 4403567033
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in ROCKY RIVER, OH
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS M BODNAR | DDS | 1891880886 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.