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DR. ROD J. BRIDGE D.D.S.PERIODONTIST
NPI 1174741227
Dentist - Periodontics in Provo, UT

Active since April 23, 2007
745 N 500 W, SUITE 102, PROVO, UT 84601(801) 374-8002(801) 371-0393 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Rod J. Bridge D.d.s.periodontist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROD J. BRIDGE D.D.S.PERIODONTIST (NPI 1174741227) is an individual periodontics provider in Provo, Utah, licensed in Utah (22150) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1174741227
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. ROD J. BRIDGECredential: D.D.S.PERIODONTIST
Location Address745 N 500 W, SUITE 102Provo, UT 84601-1472
Mailing Address745 N 500 W, Suite 102Provo, UT 84601-1472 · (801) 374-8002 · Fax (801) 371-0393
Phone(801) 374-8002
Fax(801) 371-0393
Sole ProprietorYes
Enumeration DateApril 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174741227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in UT · 22150
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.
745 N 500 W, Provo, UT 84601
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROVO PEDIATRIC DENTAL
Dentist (Pediatric Dentistry)
745 N 500 W
PROVO, UT 84601
Utah County (801) 373-4200
DR. HUGO G ALTAMIRANO M.D.
Specialist
745 N 500 W, #200
PROVO, UT 84601
Utah County (801) 375-9292
DR. EVAN J MATHESON M.D.
Allergy & Immunology
745 N 500 W, #200
PROVO, UT 84601
Utah County (801) 375-9292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rod Bridge's NPI number?

The NPI number for Rod Bridge is 1174741227. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Rod Bridge located?

Rod Bridge practices at 745 N 500 W Suite 102, Provo, UT 84601. The listed phone number is (801) 374-8002.

What is Rod Bridge's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Rod Bridge was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.