DR. JENNIFER BODZIAK (NPI# 1457575714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457575714 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER BODZIAK |
| Credential | DDS |
| Practice Address |
Unm Residency Clinic 1801 Camino De Salud Albuquerque NM 87102 |
| Mailing Address |
1537 32nd Cir Se Rio Rancho NM 87124-1967 |
| Practice Telephone | 5059254031 |
| Mailing Telephone | 5057202019 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2019-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DD2048 | NM | Dental Providers |
| N | 122300000X | Dentist | 2901017490 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 64528766 | 05 |
| Street Address |
UNM RESIDENCY CLINIC 1801 CAMINO DE SALUD |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959934 | Comfortable Dentistry 4u - Cottonwood, LLC | Dentist | 3613 Nm 528 Nw Ste D, Albuquerque, NM 87114-8918 | 2020-10-15 |
| 1932729506 | Brenda Concepcion Acosta | Dentist | Aegd-1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-23 |
| 1942833199 | Salud Dental Group Albuquerque | Dentist | 3803 Atrisco Dr Nw Ste D, Albuquerque, NM 87120-4958 | 2020-02-17 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1679050942 | Comfortable Dentistry 4u LLC | Dentist | 9204 Menaul Blvd Ne Ste 3, Albuquerque, NM 87112-2201 | 2018-07-19 |
| 1649756206 | Brandon Wade Terhune | Dentist | 7520 Montgomery Blvd Ne Bldg E12, Albuquerque, NM 87109-1586 | 2018-07-17 |
| 1417443276 | Kyle Thomas Lantz | Dentist | 2800-a Coors Blvd Nw, Albuquerque, NM 87120 | 2018-07-05 |
| 1669967063 | Gabriele E Mccomas | Dentist | 5000 Menaul Boulevard, Suite B, Albuquerque, NM 87110-3046 | 2018-06-27 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1154838266 | Dr Barney W Carter Dmd PC | Dentist | 3900 Eubank Blvd Ne Ste 19, Albuquerque, NM 87111-3427 | 2018-01-10 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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| 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.