Bridge, Rod J.

Bridge, Rod J. is an sole proprietor health care provider with primary practice located at 745 N 500 W Suite 102, Provo UT 84601-1472. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Bridge, Rod J. can be contacted via phone (801) 374-8002.

Contact Information

Primary practice address
745 N 500 W Suite 102 Provo UT 84601-1472
Phone: (801) 374-8002
Fax: (801) 371-0393
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 22150 Utah

Profile Details

NPI number 1174741227
LBN Legal business name Bridge, Rod J.
Credentials D.D.S.PERIODONTIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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