Individual
MARK JOSEPH DODDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
150 N INDIANA ST, MOORESVILLE, IN 46158-1506
(317) 831-4240
Mailing address
6828 CADWELL CIR, INDIANAPOLIS, IN 46237-9429
(317) 414-6758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009993
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200209760
—
IN
Enumeration date
05/19/2007
Last updated
05/21/2008
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