Dodge, Donald
Dodge, Donald is an sole proprietor health care provider with primary practice located at 492 Old Town Rd , Port Jefferson Station NY 11776-2249. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dodge, Donald can be contacted via phone (631) 928-1018.Contact Information
Primary practice address
492 Old Town Rd
Port Jefferson Station NY 11776-2249
Phone: (631) 928-1018
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 039774-1 | New York |
Profile Details
| NPI number | 1245362243 |
|---|---|
| LBN Legal business name | Dodge, Donald |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 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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