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DR. TIMOTHY EUGENE BODEY SR. DDS
NPI 1366426512
Dentist - Endodontics in Saint Louis, MO

Active since December 01, 2005
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141(800) 325-3982(877) 685-9866 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Timothy Eugene Bodey Sr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY EUGENE BODEY SR. DDS (NPI 1366426512) is an individual endodontics provider in Saint Louis, Missouri, licensed in Tennessee (DS0000004234) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1366426512
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. TIMOTHY EUGENE BODEY SR.Credential: DDS
Location Address12647 OLIVE BLVD, SUITE 600Saint Louis, MO 63141-6345
Mailing Address4532 Short Mountain RdMc Minnville, TN 37110-4768 · (931) 939-3525
Phone(800) 325-3982
Fax(877) 685-9866
Sole ProprietorNo
Enumeration DateDecember 1, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366426512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in TN · DS0000004234
Definition
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.
12647 OLIVE BLVD, Saint Louis, MO 63141
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. RUTH SUSAN ROSENSTEIN LCSW
Behavior Analyst
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (180) 032-5398
SHARON DUCKWORTH
Social Worker (Clinical)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (520) 682-3182
MS. CAROL JO TALIAFERRO LCSW
Social Worker (Clinical)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (314) 744-4100
DR. WILLIAM CONNOR PH.D.
Psychologist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (877) 984-8285
MR. ROBERT FRED VANDEBORNE
Radiologic Technologist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (800) 325-3982
MS. DENISE TAYLOR DARDEN NNP
Nurse Practitioner (Neonatal)
12647 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (800) 325-3982
MRS. AUDREY MARY HYLAND CRNA
Registered Nurse
12647 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 744-4247
MARK NEUENSCHWANDER
Family Medicine
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (800) 325-3982

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Bodey's NPI number?

The NPI number for Timothy Bodey is 1366426512. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Timothy Bodey located?

Timothy Bodey practices at 12647 Olive Blvd Suite 600, Saint Louis, MO 63141. The listed phone number is (800) 325-3982.

What is Timothy Bodey's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Timothy Bodey was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.