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Organization

JEFFREY E DODGE DMD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY E. DODGE DMD (OWNER)
(401) 762-3044
Entity
Organization

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
80413
BLUE CROSS DENTAL
RI
05
JD01450
RI
Enumeration date
09/25/2008
Last updated
09/25/2008
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