Family and Cosmetic Gentle Dentistry
NPI 1164803177ActiveOrganization· Dentist, General Practice· Wayzata, MN
Dentist, General Practice in Wayzata, Minnesota, registered in NPPES in June 2015. The authorized official on file is Robert Luther Bodin, DDS, Dentist.
Overview
| NPI | 1164803177 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2015 |
| Last updated in NPPES | Jun 16, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other general dentists in Wayzata
- 1154311132
- 1275527442
- 1033346986
- 1154490472
- 1194101055
- 1285382655
- 1356077499
- 1659554517
- 1831297357
- 1841403508
- 1861507329
- 1942214200
All 18 general dentists in Wayzata · All general dentists in Minnesota