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Donald Dodge
General Practice Dentistry in Port Jefferson Station, New York
NPI 1245362243

Donald Dodge is a General Practice Dentistry based in East Setauket, NY and is specialized in General Practice. Donald Dodge practices in Port Jefferson Station, NY. The NPI Number for Donald Dodge is 1245362243 and holds a License No. 039774-1 (New York).

The current practice location address for Donald Dodge is 492 Old Town Rd, Port Jefferson Station, NY and can be reached out via phone at 631-928-1018.

Location: 492 Old Town Rd, Port Jefferson Station, NY, 11733-3504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245362243
Provider Name
Donald Dodge
Credential
Provider Entity Type
Individual
Gender
Male
Address
492 Old Town Rd, Port Jefferson Station, NY, 11733-3504
Phone Number
631-928-1018
Fax Number
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
492 Old Town Rd
City
Port Jefferson Station
State
New York
Zip
11776-2249
Phone Number
631-928-1018
Fax Number
person
Provider Business Mailing Address Details
Address
492 Old Town Rd
City
Port Jefferson Station
State
New York
Zip
11776-2249
Phone Number
631-928-1018
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
039774-1 (New York)
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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