Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID F. BODEN, D.D.S., M.S.
ActiveDR. DAVID F. BODEN, D.D.S., M.S. is a Periodontology healthcare provider located in PORT ST LUCIE, Florida. NPI 1821215526 is currently active in the NPPES registry. Verify at CMS.
Periodontology · PORT ST LUCIE, FL
Registration Details
- NPI Number
- 1821215526
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2007 (19.279648120103 yrs)
- Last Updated
- Jul 8, 2007
- License
-
10253 (FL)
Practice Information
- Address
-
1100 SW SAINT LUCIE WEST BLVDSUITE #104PORT ST LUCIE, FL, 349861780Browse FL providers · Browse ZIP 34986
- Phone
- 7728782000
- Fax
- 7728782807
- Primary Specialty
-
Periodontology
1223P0300X
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.