Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jeffery Allen Dodds, CCC-A

Individual provider Audiologist · NPI 1164482121

Mr. Jeffery Allen Dodds, CCC-A is a Qualified Audiologist in St Louis Park, Minnesota. Qualified in 2000, 26 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment.

Years since qualifying
26
In the registry since
2006
What do these letters mean?
CCC-A — Certificate of Clinical Competence in Audiology
An audiologist certified by ASHA.

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Practice location Address checks out

3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone: (952) 993-1250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X

Record details

NPI number1164482121
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-A
Sole proprietorNo
NPI enumeratedMarch 24, 2006
Last updated in NPPESJune 6, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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