Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROD J. BRIDGE, D.D.S.PERIODONTIST
Active Sole ProprietorDR. ROD J. BRIDGE, D.D.S.PERIODONTIST is a Periodontology healthcare provider located in PROVO, Utah. NPI 1174741227 is currently active in the NPPES registry. Verify at CMS.
Periodontology · PROVO, UT
Registration Details
- NPI Number
- 1174741227
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2007 (19.26960539134 yrs)
- Last Updated
- Jul 8, 2007
- License
-
22150 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
745 N 500 WSUITE 102PROVO, UT, 846011472Browse UT providers · Browse ZIP 84601
- Phone
- 8013748002
- Fax
- 8013710393
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT WADE FERRELL | DMD, MS | 1548330004 |
| DR. CRAIG MARTIN RIRIE | D.D.S. M.S.D. | 1457568891 |
| DR. RYAN K EDMUNDS | DDS | 1467636688 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.