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Dr. John R Dodge, DMD,MS
Periodontist in Boulder, Colorado
NPI 1629190194

John R Dodge is a Periodontist based in Boulder, CO and is specialized in Periodontics. John R Dodge practices in Boulder, CO and has the professional credentials of DMD,MS. The NPI Number for John R Dodge is 1629190194 and holds a License No. CO7489 (Colorado).

The current practice location address for John R Dodge is 1440 28Th St, Boulder, CO and can be reached out via phone at 303-447-0460 and via fax at 303-447-9578. You can also correspond with John R Dodge through the mailing address at 1440 28TH ST, BOULDER, CO - 80303-1030 (mailing address contact number: 303-447-0460).

Location: 1440 28Th St, Boulder, CO, 80303-1030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629190194
Provider Name
John R Dodge
Credential
DMD,MS
Provider Entity Type
Individual
Gender
Male
Address
1440 28Th St, Boulder, CO, 80303-1030
Phone Number
303-447-0460
Fax Number
303-447-9578
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1440 28Th St
City
Boulder
State
Colorado
Zip
80303-1030
Phone Number
303-447-0460
Fax Number
303-447-9578
person
Provider Business Mailing Address Details
Address
1440 28Th St
City
Boulder
State
Colorado
Zip
80303-1030
Phone Number
303-447-0460
Fax Number
303-447-9578
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
CO7489 (Colorado)
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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