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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. MARK BRIDGE BODENHEIM DDS
NPI 1417914565
Dentist - General Practice in Fort Sam Houston, TX

Active since May 01, 2006
2410 STANLEY RD, SUITE 200J, FORT SAM HOUSTON, TX 78234(210) 295-2743(210) 295-2602 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Bridge Bodenheim Dds NPPES

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

DR. MARK BRIDGE BODENHEIM DDS (NPI 1417914565) is an individual general practice provider in Fort Sam Houston, Texas, licensed in Georgia (DN008749) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1417914565
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARK BRIDGE BODENHEIMCredential: DDS
Location Address2410 STANLEY RD, SUITE 200JFort Sam Houston, TX 78234-7529
Mailing Address2410 Stanley Rd, Suite 200jFort Sam Houston, TX 78234-7529 · (210) 295-2743 · Fax (210) 295-2602
Phone(210) 295-2743
Fax(210) 295-2602
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1417914565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN008749
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2410 STANLEY RD, Fort Sam Houston, TX 78234
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Other Providers at the Same Location NPPES 13

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

DR. MARSHALL RAY COX DDS
Dentist (General Practice)
2410 STANLEY RD, DENTAC SUITE 200J
FORT SAM HOUSTON, TX 78234
Bexar County (210) 295-2743
DR. ROBERT JAMES MILLER JR. DDS
Dentist (Prosthodontics)
2410 STANLEY RD, DENTAC SUITE 200J
FORT SAM HOUSTON, TX 78234
Bexar County (210) 295-2743
DR. JIMMY ROSS DANIELS DDS
Dentist (General Practice)
2410 STANLEY RD, SUITE 200J
FORT SAM HOUSTON, TX 78234
Bexar County (210) 295-2743
DR. MICHAEL L. ROBERTS DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
2410 STANLEY RD, DENTAC SUITE 200H
FORT SAM HOUSTON, TX 78234
Bexar County (210) 295-2743
DR. TIMOTHY KEVIN JONES DDS
Dentist (General Practice)
2410 STANLEY RD, DENTAC SUITE 200J
FORT SAM HOUSTON, TX 78234
Bexar County (210) 295-2743
DR. MEHTAB HUSAIN DMD
Dentist (General Practice)
2410 STANLEY RD, DENTAC SUITE 200J
FORT SAM HOUSTON, TX 78234
Bexar County (210) 295-2743
DR. MARIE BANDY WALL DMD
Dentist (General Practice)
2410 STANLEY RD, DENTAC SUITE 200J
FORT SAM HOUSTON, TX 78234
Bexar County (210) 295-2743
DR. ANN SUE VON GONTEN D.D.S.
Dentist (Prosthodontics)
2410 STANLEY RD, US ARMY DENTAL ACTIVITY, SUITE 200J
FORT SAM HOUSTON, TX 78234
Bexar County (210) 295-2743

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 Mark Bodenheim's NPI number?

The NPI number for Mark Bodenheim is 1417914565. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Mark Bodenheim located?

Mark Bodenheim practices at 2410 Stanley Rd Suite 200J, Fort Sam Houston, TX 78234. The listed phone number is (210) 295-2743.

What is Mark Bodenheim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mark Bodenheim was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.