Donald Dodge
Donald Dodge is a General Practice Dentistry in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
492 Old Town RdPort Jefferson Station, NY 11776-2249
Phone: (631) 928-1018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 039774-1 (NY) |
|---|
Record details
| NPI number | 1245362243 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 12, 2007 |
| Last updated in NPPES | July 8, 2007 |
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