Individual
DR. EARL DODGION
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
0130 PONDEROSA DRIVE, SOUTH FORK, CO 81154-0247
(719) 873-5846
(719) 873-1516
Mailing address
PO BOX 247, SOUTH FORK, CO 81154-0247
(719) 873-5846
(719) 873-1516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
592
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02005924
—
CO
Enumeration date
03/21/2006
Last updated
07/08/2007
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