Rod J. Bridge is a Periodontics in Provo, Utah. Rod J. Bridge practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Rod J. Bridge is 1174741227. The last update date is 2007-07-08.
Rod J. Bridge's current location address is 745 N 500 W, Provo, Utah. You can contact this provider via phone number 8013748002 and fax number 8013710393. The mailing address for Rod J. Bridge is 745 N 500 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rod J. Bridge |
|---|---|
| Address | 745 N 500 W, Provo, Utah |
| Phone Number | 8013748002 |
| Fax Number | 8013710393 |
| Sole Proprietor | Y |
| Credentials | D.D.S.PERI |
NPI Number Detail
| NPI Number | 1174741227 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 745 N 500 W |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846011472 |
| Phone Number | 8013748002 |
| Fax Number | 8013710393 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 22150 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Rod J. Bridge?
The Rod J. Bridge has been issued the NPI (National Provider Identifier) 1174741227 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Rod J. Bridge's physical address?
The Rod J. Bridge is physically located at 745 N 500 W, in the city of Provo, UT, with the postal code 846011472.
What is Rod J. Bridge's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Rod J. Bridge is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
When did the Rod J. Bridge receive its 1174741227?
The Rod J. Bridge was issued its 1174741227 on 2007-04-23, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Rod J. Bridge, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Rod J. Bridge, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.