DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JENNIFER BODZIAK, DDS

Active Sole Proprietor

DR. JENNIFER BODZIAK, DDS is a Dentist healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1457575714 is currently active in the NPPES registry. Verify at CMS.

Dentist · ALBUQUERQUE, NM

Registration Details

NPI Number
1457575714
Provider Type
Individual
Gender
Female
NPI Issued
Apr 11, 2007 (19.16791553964 yrs)
Last Updated
Jul 5, 2019
Licenses
2901017490 (MI)
DD2048 (NM)
Sole Proprietor
Yes

Practice Information

Address
UNM RESIDENCY CLINIC
1801 CAMINO DE SALUD
ALBUQUERQUE, NM, 87102
Browse NM providers · Browse ZIP 87102
Phone
5059254031
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in ALBUQUERQUE, NM

Name Credential NPI
JONATHAN Y CHIANG DDS 1598768129
DR. PAUL MARTIN CLIFFORD DDS 1134124126
DR. ALICIA ANN ABEYTA DDS 1942298047
DR. CLIFFORD FREIDLINE DDS 1154310928
CHARLES E TILSON DMD 1619966314
BRENTON MATTHEW MASON DMD 1336138031
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.