DR. ROD J. BRIDGE


Address: 745 N 500 W, Suite 102, Provo, UT 84601-1472
Phone: 8013748002

DR. ROD J. BRIDGE (NPI# 1174741227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174741227
Entity Type Individual
Full Name DR. ROD J. BRIDGE
Credential D.D.S.PERIODONTIST
Practice Address 745 N 500 W
Suite 102
Provo
UT 84601-1472
Practice Telephone 8013748002
Practice Fax Number 8013710393
Mailing Telephone 8013748002
Mailing Fax Number 8013710393
Enumeration Date 2007-04-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
22150 UT Dental Providers

Office Location

Street Address 745 N 500 W
SUITE 102
City PROVO
State UT
Zip Code 84601-1472

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417938325 Hugo G Altamirano Specialist 745 N 500 W, #200, Provo, UT 84601-1472 2005-11-08
1649251646 Evan J Matheson Specialist 745 N 500 W, #200, Provo, UT 84601-1472 2005-11-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902378417 1 Assist Care of Utah Valley LLC In Home Supportive Care 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 2018-12-21
1346723319 Mp Dental LLC Dentist 777 N. 500 W. #204, Proud, UT 84601 2018-09-14
1326530601 Madison Paige Nelson Case Manager/Care Coordinator 750 N Freedom Blvd., Provo, UT 84601 2018-06-03
1245758861 Annette Roylance Case Manager/Care Coordinator 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 2017-09-04
1912422205 Alexandra Mcbride Specialist/Technologist 35 N 300 W #440, Provo, UT 84601 2017-08-07
1932638293 Audrey Clara Clifton Case Manager/Care Coordinator 750 North Freedom Blvd., Provo, UT 84601 2017-06-08
1528514197 Joseph Hyrum Lewis Case Manager/Care Coordinator 750 Freedom Blvd, Provo, UT 84601 2016-09-01
1629427620 Walker Clements Case Manager/Care Coordinator 750 North Freedom Blvd, Provo, UT 84601 2016-06-09
1447611595 Robert Shirley Student in an Organized Health Care Education/Training Program 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 2016-03-17
1700286283 Brelynn Downs Student in an Organized Health Care Education/Training Program 750 North Freedom Blvde, Provo, UT 84601 2014-09-03
Find all providers in zip 84601

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467636688 Ryan K Edmunds Dentist 745 N 500 W Ste 102, Provo, UT 84601-1473 2007-12-24
1457568891 Craig Martin Ririe Dentist 3610 N. University Ave., 150, Provo, UT 84604 2007-05-16
1285740407 George M Bailey Dentist 3585 N University Ave Ste 200, 200, Provo, UT 84604-6631 2006-08-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194322776 Chase Larsen Dmd Pllc Dentist 723 E 12200 S, Draper, UT 84020 2020-10-06
1225673429 Mountain View Dental Pdc Pllc Dentist 6783 S Redwood Rd #201, South Jordan, UT 84084-5743 2019-11-12
1699317685 Daybreak Pdc Pllc Dentist 4040 West Daybreak Pkwy, Suite 103, South Jordan, UT 84009-1286 2019-10-11
1649837337 North Logan Pdc Pllc Dentist 1445 N 400 E Ste 3a, Logan, UT 84341-7564 2019-05-29
1154701993 Robert David Swenson Dentist 3397 N 1200 E Ste 111, Lehi, UT 84043 2015-06-07
1710385000 C & F Implants LLC Dentist 347 N 300 W, Suite 201, Kaysville, UT 84037-1828 2014-12-18
1548668353 C & F Implants LLC Dentist 5331 Adams Ave Pkwy Ste A, South Ogden, UT 84405-4755 2014-12-10
1457797185 Rachana Ashok Hegde Dentist 10920 S River Front Parkway, College of Dental Medicine Roseman University of Health, South Jordan, UT 84095 2013-05-21
1265788210 Mitchell Miles Gubler Dentist 368 E Riverside Dr Ste 7, St George, UT 84790-7278 2012-07-27
1881982585 Lloyd V Tilt Dentist 1316 Harvard Ave, Salt Lake City, UT 84105-1916 2011-07-14
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Competitor

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City PROVO
Zip Code 84601

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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