Bridge, Rod J.
Bridge, Rod J. is an sole proprietor health care provider with primary practice located at 745 N 500 W Suite 102, Provo UT 84601-1472. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Bridge, Rod J. can be contacted via phone (801) 374-8002.Contact Information
Primary practice address
745 N 500 W Suite 102
Provo UT 84601-1472
Phone: (801) 374-8002
Fax: (801) 371-0393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 22150 | Utah |
Profile Details
| NPI number | 1174741227 |
|---|---|
| LBN Legal business name | Bridge, Rod J. |
| Credentials | D.D.S.PERIODONTIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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