Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John R Dodge, DMD, MS

Individual provider Periodontics · NPI 1629190194

Dr. John R Dodge, DMD, MS is a Periodontics in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1440 28th St Ste 1
Boulder, CO 80303-1030
Phone: (303) 447-0460
Fax: (303) 447-9578
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence CO7489 (CO)

Record details

NPI number1629190194
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MS
Sole proprietorNo
NPI enumeratedApril 4, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1440 28th St, Suite 1, Boulder, CO 80303-1030

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