| Jeffrey E Dodge Dmd | |
|
1438 Park Ave Woonsocket RI 02895-6557 | |
| (401) 762-3044 | |
| (401) 769-0603 |
| Full Name | Jeffrey E Dodge Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1438 Park Ave, Woonsocket, Rhode Island |
| Authorized Official Name and Position | Jeffrey E. Dodge (OWNER) |
| Authorized Official Contact | 4017623044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey E Dodge Dmd 1438 Park Ave Woonsocket RI 02895-6557 Ph: (401) 762-3044 | Jeffrey E Dodge Dmd 1438 Park Ave Woonsocket RI 02895-6557 Ph: (401) 762-3044 |
| NPI Number | 1790935831 |
|---|---|
| Provider Enumeration Date | 09/25/2008 |
| Last Update Date | 09/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790935831 | NPI | - | NPPES |
| 80413 | Other | RI | BLUE CROSS DENTAL |
| JD01450 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2227 (Rhode Island) | Primary |
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