Dodge, John R
Dodge, John R is an individual health care provider with primary practice located at 1440 28Th St Suite 1, Boulder CO 80303-1030. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Dodge, John R can be contacted via phone (303) 447-0460.Contact Information
Primary practice address
1440 28Th St Suite 1
Boulder CO 80303-1030
Phone: (303) 447-0460
Fax: (303) 447-9578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | CO7489 | Colorado |
Profile Details
| NPI number | 1629190194 |
|---|---|
| LBN Legal business name | Dodge, John R |
| Credentials | DMD,MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 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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