Dodd, George Dale
Dodd, George Dale is an sole proprietor health care provider with primary practice located at 4121 Fairmont Pkwy , Pasadena TX 77504-3301. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dodd, George Dale can be contacted via phone (281) 506-7800.Contact Information
Primary practice address
4121 Fairmont Pkwy
Pasadena TX 77504-3301
Phone: (281) 506-7800
Fax: (281) 506-7805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 13539 | Texas |
Profile Details
| NPI number | 1396771200 |
|---|---|
| LBN Legal business name | Dodd, George Dale |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Jun 27th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396771200 | NPPES |
| Texas | MEDICAID | 009569701 |
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