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Bodily Brothers Dental

NPI 1679066310ActiveOrganization· Dentist, General Practice· Burley, ID

Dentist, General Practice in Burley, Idaho, registered in NPPES in June 2018. The authorized official on file is Chad Bodily, Owner.

Overview

NPI1679066310
StatusActive
Entity typeOrganization
NPI issuedJun 7, 2018
Last updated in NPPESAug 14, 2025
Certified by providerAug 14, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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