Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cody Ray Bollendorf, DDS

Individual provider General Practice Dentistry · NPI 1093551327

Cody Ray Bollendorf, DDS is a General Practice Dentistry in Salem, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2024.

Licensed in
WI
In the registry since
2024
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

24418 75th St
Salem, WI 53168-9703
Phone: (262) 843-2004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6001602-15 (WI)

Record details

NPI number1093551327
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 5, 2024
Last updated in NPPESJuly 5, 2024
Certification dateJuly 5, 2024
Mailing address24418 75th St, Salem, WI 53168-9703

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