Dr. Rod J. Bridge, DDSPERIODONTIST
Dr. Rod J. Bridge, DDSPERIODONTIST is a Periodontics in Provo, Utah. Practices as a sole proprietor. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2007
Practice location Address checks out
745 N 500 W Ste 102Provo, UT 84601-1472
Phone: (801) 374-8002
Fax: (801) 371-0393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 22150 (UT) |
|---|
Record details
| NPI number | 1174741227 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDSPERIODONTIST |
| Sole proprietor | Yes |
| NPI enumerated | April 23, 2007 |
| Last updated in NPPES | July 8, 2007 |
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