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Chad Bodily — NPI 1366857161, Burley, ID | NPI Central

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NPI 1366857161

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Chad Bodily

NPI 1366857161 · Dentist · Burley, ID

Provider details

NPI number: 1366857161
Entity type: Individual
Primary specialty: DentistDental Providers
Sex: Male
Sole proprietor: Yes
License: D-4600 (ID)

Specialties & taxonomies

DentistPrimary122300000XLicense D-4600 (ID)
Dental Providers

Practice location

425 N Overland Ave

Burley, ID 83318-3434

Phone: (208) 430-9555

Approximate (ZIP-level) locationGet directions

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Mailing address

425 N Overland Ave

Burley, ID 83318-3434

Registry dates

Enumerated: 2014-07-01
Last updated: 2025-08-14
Certified: 2025-08-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.