Individual
JANE L DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
16775 CHILLICOTHE RD, CHAGRIN FALLS, OH 44023-4519
(440) 543-3688
Mailing address
88 CENTER RD, SUITE 330, BEDFORD, OH 44146
(440) 439-2230
(440) 439-0907
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
17095
OH
1223G0001X
General Practice Dentistry
Primary
30017095
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0553851
—
OH
Enumeration date
10/30/2008
Last updated
12/20/2017
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