Rod Bridge, D.D.S.PERIODONTIST

NPI 1174741227 · on the registry since 2007 · sole proprietor

Practice

Address: 745 N 500 W
Suite 102
Provo, UT 84601
Phone: (801) 374-8002
Fax: (801) 371-0393
Organisation at this address: Sexton Omfs
Provo Pediatric Dental
Benjamin Stclair Do Llc
Christopher Gordon Do, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Periodontics
1223P0300X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah