| Dr Jennifer Bodziak, DDS | |
|
Unm Residency Clinic, 1801 Camino De Salud, Albuquerque, NM 87102 | |
| (505) 925-4031 | |
| Not Available |
| Full Name | Dr Jennifer Bodziak |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | Unm Residency Clinic, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457575714 | NPI | - | NPPES |
| 64528766 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901017490 (Michigan) | Secondary |
| 122300000X | Dentist | DD2048 (New Mexico) | Primary |
| Entity Name | Unm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Bodziak, DDS 1537 32nd Cir Se, Rio Rancho, NM 87124-1967 Ph: (505) 720-2019 | Dr Jennifer Bodziak, DDS Unm Residency Clinic, 1801 Camino De Salud, Albuquerque, NM 87102 Ph: (505) 925-4031 |
Dr. Shane Thomas Clark, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2800 Coors Blvd Nw, Albuquerque, NM 87120 Phone: 505-352-1166 | |
Dan Lafferty Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4550 Eubank Blvd Ne Ste 101, Albuquerque, NM 87111 Phone: 505-292-8588 Fax: 505-292-3100 | |
Dr. Stephanie Ashley Padilla, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3809 Eubank Blvd Ne, Albuquerque, NM 87111 Phone: 505-292-2323 Fax: 855-287-5765 | |
Erin O'neal, Dentist Medicare: Medicare Enrolled Practice Location: 2001 Centro Familiar Blvd Sw, Albuquerque, NM 87105 Phone: 505-873-7400 | |
Dr. William C Gardner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8200 Carmel Ave Ne Ste 101, Albuquerque, NM 87122 Phone: 505-828-2669 Fax: 505-828-2716 | |
Dr. Hunter Lee Mortley, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 7510 Montgomery Blvd Ne, #206, Albuquerque, NM 87109 Phone: 505-881-1998 | |
Shu-ching Catherine Chang, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5721 Fourth Street Nw, Albuquerque, NM 87107 Phone: 505-345-0515 Fax: 505-345-2418 |