DR. ROD BRIDGE, D.D.S.PERIODONTIST
Dentist - Periodontics
Active
Individual
NPI: 1174741227
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Periodontics | 1223P0300X | Yes | 22150 (UT) |
Frequently Asked Questions
NPI 1174741227 is the National Provider Identifier for DR. ROD BRIDGE, D.D.S.PERIODONTIST, a Dentist - Periodontics provider located in Provo, UT. This NPI was enumerated on April 23, 2007.
DR. ROD BRIDGE, D.D.S.PERIODONTIST practices at 745 N 500 W, SUITE 102, Provo, UT 84601.
Quick Facts
- NPI
- 1174741227
- Type
- Individual
- Enumerated
- Apr 23, 2007
- Last Updated
- Jul 8, 2007
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