Dodge, Jeffrey Edward

Dodge, Jeffrey Edward is an sole proprietor health care provider with primary practice located at 1438 Park Ave , Woonsocket RI 02895-6557. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dodge, Jeffrey Edward can be contacted via phone (401) 762-3044.

Contact Information

Primary practice address
1438 Park Ave Woonsocket RI 02895-6557
Phone: (401) 762-3044
Fax: (401) 769-0603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2227 Rhode Island

Profile Details

NPI number 1336170026
LBN Legal business name Dodge, Jeffrey Edward
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1336170026 NPPES
Rhode Island Other 8041-3 BC/BS DENTAL RI & MA
Rhode Island MEDICAID JD01450 BC/BS DENTAL RI & MA

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