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Active NPI 1538181706 Individual Practitioner Male Practitioner

Dr. Jason Bodnar , DMD

Dentist - General Practice • Clyde, NC

Professional Overview & Biography Verified Profile Summary

Dr. Jason Bodnar, DMD is a registered healthcare professional specializing in Dentist - General Practice in Clyde, NC. Practice services are available at 103 HAYWOOD PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

103 Haywood Park Dr

Clyde, NC 287214405

Telephone 8286271050
Fax 8286271056
Associated Practice Facility / Clinic
🏢 Bodnar & Wyatt, Pllc Facility NPI 1023037264

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Clyde, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Clyde, NC (4047 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NC 7956

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5901866 (NC)
Commercial Insurance / Payer ID Bcbs
9025V (NC)
Commercial Insurance / Payer ID United Concordia
1702701 (PA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1104084193

Doctor of Dental Surgery

Dr. Philip Fisher , DMD, PLLC

Dentist - General Practice

NPI 1851313027

Doctor of Dental Medicine, PLLC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2013

Registered at 103 HAYWOOD PARK DR, CLYDE, NC 287214405 (Tel: 8286271050)

📍
Updated Business Mailing Address October 02, 2013

Registered at 4 SAWYERS PHEASANT LANE, CANDLER, NC 287155108 (Tel: 8282304685)

👤
Provider Name / Credentials Updated October 02, 2013

Recorded as JASON BODNAR, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2013

Dentist (License #7956 in NC)

🟢
Initial NPI Registration & Enumeration July 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538181706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2006
Last Update: October 02, 2013
Sole Proprietor: No

Mailing Address

4 Sawyers Pheasant Lane

Candler, NC 287155108

Phone: 8282304685

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.