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

Dr. Mark Bridge Bodenheim, DDS

Individual provider General Practice Dentistry · NPI 1417914565

Dr. Mark Bridge Bodenheim, DDS is a General Practice Dentistry in Fort Sam Houston, Texas. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

2410 Stanley Rd Ste 200J
Fort Sam Houston, TX 78234-7529
Phone: (210) 295-2743
Fax: (210) 295-2602
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 DN008749 (GA)

Record details

NPI number1417914565
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESJuly 13, 2026
Mailing address2410 Stanley Rd, Suite 200j, Fort Sam Houston, TX 78234-7529

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