Individual provider · Type 1 NPI
Rod J. Bridge, D.D.S.PERIODONTIST
Periodontics · Provo, UT
NPI number
1174741227
Active
Practice location
745 N 500 W, Suite 102
Provo, UT 84601-1472
Fax (801) 371-0393
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 22150 (UT) |
Periodontics: 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.
3 other providers at this address
Other periodontics providers in Provo
About NPI 1174741227
Rod J. Bridge, D.D.S.PERIODONTIST's National Provider Identifier is 1174741227, issued on Apr 23, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Provo, UT. The record was last updated on Jul 8, 2007.