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Dr. Rod J. Bridge, DDSPERIODONTIST
Periodontist in Provo, Utah
NPI 1174741227

Rod J. Bridge is a Periodontist based in Provo, UT and is specialized in Periodontics. Rod J. Bridge practices in Provo, UT and has the professional credentials of DDSPERIODONTIST. The NPI Number for Rod J. Bridge is 1174741227 and holds a License No. 22150 (Utah).

The current practice location address for Rod J. Bridge is 745 N 500 W, Provo, UT and can be reached out via phone at 801-374-8002 and via fax at 801-371-0393. You can also correspond with Rod J. Bridge through the mailing address at 745 N 500 W, PROVO, UT - 84601-1472 (mailing address contact number: 801-374-8002).

Location: 745 N 500 W, Provo, UT, 84601-1472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174741227
Provider Name
Rod J. Bridge
Credential
DDSPERIODONTIST
Provider Entity Type
Individual
Gender
Male
Address
745 N 500 W, Provo, UT, 84601-1472
Phone Number
801-374-8002
Fax Number
801-371-0393
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
745 N 500 W
City
Provo
State
Utah
Zip
84601-1472
Phone Number
801-374-8002
Fax Number
801-371-0393
person
Provider Business Mailing Address Details
Address
745 N 500 W
City
Provo
State
Utah
Zip
84601-1472
Phone Number
801-374-8002
Fax Number
801-371-0393
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
22150 (Utah)
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 structures and tissues.
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