MOLLY BODENDORFER


Address: 365 N Halsted St Apt 902, Chicago, IL 60661-1374
Phone: 3166553731

MOLLY BODENDORFER (NPI# 1306200167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306200167
Entity Type Individual
Full Name MOLLY BODENDORFER
Credential DDS
Practice Address 365 N Halsted St Apt 902
Chicago
IL 60661-1374
Practice Telephone 3166553731
Mailing Telephone 3166553731
Enumeration Date 2016-04-07
Last Update Date 2020-07-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
021.003036 IL Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
110 Irving St Nw, Dept of Orthodontics, Washington, DC 20010 2028775380 2028778439

Office Location

Street Address 365 N HALSTED ST APT 902
City CHICAGO
State IL
Zip Code 60661-1374

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053957993 Safer Foundation Clinic/Center 769 W Jackson, Unit G, Chicago, IL 60661 2019-11-26
1174003644 Safer Foundation Clinic/Center 571 W Jackson Blvd, Chicago, IL 60661 2018-08-15
1154835932 Kathleen Emery Psychologist 555 W Jackson Blvd Ste 700, Chicago, IL 60661 2017-11-30
1407384886 Dana M Trotta Physical Therapist 500 W Madison St # C024, Chicago, IL 60661 2017-05-30
1003356874 Carcena Harvey-burns Nurse Practitioner 549 W Randolph St, Chicago, IL 60661 2017-02-27
1962949610 H & U of West Loop LLC Dentist 207 S. Halsted St., Chicago, IL 60661 2017-01-19
1851700066 Lauren Lew Physician Assistant 555 West Madison St. Apt 4903, Chicago, IL 60661 2014-08-13
1306114699 Telos Therapy, LLC Physical Therapist 651 W Washington Blvd Ste 305, Chicago, IL 60661 2011-12-01
1912288622 Peter Cuauhtemoc Shinnick Pharmacist 111 S Halsted, Chicago, IL 60661 2011-09-08
1619292570 Ramandeep Kaur Family Medicine 1717 W. Congress Parkway Kellogg Suite 1125, Rush University Medical Center, Chicago, IL 60661 2010-04-05
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427670421 Braces By Barnes Dentist 1335 E 87th St Ste B, Chicago, IL 60619-7036 2020-05-12
1922645308 Riddhi J Desai Dmd Pllc Dentist 727 W Madison St Apt 1208, Chicago, IL 60661-2409 2019-12-04
1346806577 Pulaski Smiling Dental P.C. Dentist 5540 S Pulaski Rd Fl 1, Chicago, IL 60629-4418 2019-05-13
1750944252 Candid Illinois, Pllc Dentist 750 N Franklin St Fl Stc2, Chicago, IL 60654-6263 2019-04-19
1407314610 Orthodontic Experts Ltd Dentist 3339 W Belmont Ave, Chicago, IL 60618-5518 2019-03-06
1669938387 Theresa Karras Dentist 11 E Cedar St, Floor 2, Chicago, IL 60611-6066 2019-02-19
1396235651 Love My Smile Chicago, LLC Dentist 2112 N Clybourn Ave Unit B, Chicago, IL 60614-0800 2018-05-12
1013414655 Flavio Jose Castelli Sanchez Dentist 801 S Paulina St Rm 131, Chicago, IL 60612-7210 2018-04-10
1437659570 John C Ford Dentist 225 E Chicago Ave # 75, Chicago, IL 60611-2991 2018-02-15
1437657582 Orthodontic Experts Dentist 1654 W North Ave, Chicago, IL 60622-2255 2018-01-24
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Competitor

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City CHICAGO
Zip Code 60661

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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