DR. TIMOTHY EUGENE BODEY DDS NPI 1366426512

NPI Information

  • NPI: 1366426512
  • Provider Name: DR. TIMOTHY EUGENE BODEY, DDS
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • CLIA Number: 44D0895680
  • Address: 12647 OLIVE BLVD
    SUITE 600
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (800) 325-3982

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NPI Details

DR. Timothy Eugene Bodey, DDS is an endodontics dentist in Saint Louis, MO. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Timothy Eugene Bodey, DDS NPI is 1366426512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12647 OLIVE BLVD
SUITE 600
SAINT LOUIS, MO
ZIP 63141-345
Phone: (800) 325-3982
Fax: (877) 685-9866

The CLIA number assigned to this NPI record is 44D0895680 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodonticsDS0000004234TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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