Donald Dodge in Port Jefferson Stati - General Practice
Donald Dodge - NPI 1245362243
Donald Dodge is a General Practice in Port Jefferson Stati, New York. Donald Dodge practices all healthcare services and medical treatments related to General Practice. The NPI Number for Donald Dodge is 1245362243. The last update date is 2007-07-08.
Donald Dodge's current location address is 492 Old Town Rd, Port Jefferson Stati, New York. You can contact this provider via phone number 6319281018. The mailing address for Donald Dodge is 492 Old Town Rd, Port Jefferson Stati, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Donald Dodge |
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Address | 492 Old Town Rd, Port Jefferson Stati, New York |
Phone Number | 6319281018 |
Fax Number | |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1245362243 |
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Provider Enumeration Date | 2007-03-12 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 492 Old Town Rd |
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City | Port Jefferson Stati |
State | New York (NY) |
Post Code | 117762249 |
Phone Number | 6319281018 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 039774-1 |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Donald Dodge?
The Donald Dodge has been issued the NPI (National Provider Identifier) 1245362243 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Donald Dodge?
The Donald Dodge is physically situated at 492 Old Town Rd, in the city of Port Jefferson Stati, state of NY, with the postal code 117762249.
What is Donald Dodge's area of expertise and its corresponding taxonomy classification?
The Donald Dodge's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Donald Dodge receive the assignment of its 1245362243 from the Centers for Medicare & Medicaid Services?
The Donald Dodge was issued its 1245362243 by the Centers for Medicare & Medicaid Services on 2007-03-12.
When was the information related to Donald Dodge most recently updated or refreshed?
The details pertaining to the Donald Dodge, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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