Individual
DR. JEFFREY EDWARD DODGE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1438 PARK AVE, WOONSOCKET, RI 02895-6557
(401) 762-3044
(401) 769-0603
Mailing address
1438 PARK AVE, WOONSOCKET, RI 02895-6557
(401) 762-3044
(401) 769-0603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2227
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8041-3
BC/BS DENTAL RI & MA
RI
05
—
JD01450
—
RI
Enumeration date
07/05/2006
Last updated
07/08/2007
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