Individual
DR. GREGORY P DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
286 CHURCH ST, SARATOGA SPRINGS, NY 12866-9208
(518) 584-8150
(518) 584-8751
Mailing address
286 CHURCH ST, SARATOGA SPRINGS, NY 12866-9208
(518) 584-8150
(518) 584-8751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051224
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000415815002
BLUE SHIELD
NY
01
—
10090704
CDPHP
NY
01
—
816875
UNITED CONCORDIA
NY
Enumeration date
07/19/2006
Last updated
07/08/2007
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