DONALD DODGE
NPI 1245362243
Dentist - General Practice in Port Jefferson Station, NY

Q: What is Donald Dodge's NPI number?

The NPI number for Donald Dodge is 1245362243. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Q: What is Donald Dodge's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Donald Dodge 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.

Active since March 12, 2007

492 OLD TOWN RD, PORT JEFFERSON STATION, NY 11776(631) 928-1018 Get Directions Write a Review

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

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About Donald Dodge NPPES

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

DONALD DODGE (NPI 1245362243) is an individual general practice provider in Port Jefferson Station, New York, licensed in New York (039774-1) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1245362243

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDONALD DODGE

Location Address492 OLD TOWN RDPort Jefferson Station, NY 11776-2249

Mailing Address14 Bunny LnEast Setauket, NY 11733-3504

Phone(631) 928-1018

Sole ProprietorYes

Enumeration DateMarch 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1245362243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 039774-1

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

492 OLD TOWN RD, Port Jefferson Station, NY 11776

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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.

NY METRO DENTAL, PC

Dentist

492 OLD TOWN RD
PORT JEFFERSON STATION, NY 11776

Suffolk County (413) 382-7022

DR. NISHI PATEL DDS

Dentist (General Practice)

492 OLD TOWN RD
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 928-1018

DR. DEEMA ATTAR D.D.S.

Dentist

492 OLD TOWN RD
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 928-1018

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 Donald Dodge's NPI number?

The NPI number for Donald Dodge is 1245362243. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Donald Dodge located?

Donald Dodge practices at 492 Old Town Rd, Port Jefferson Station, NY 11776. The listed phone number is (631) 928-1018.

What is Donald Dodge's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Donald Dodge 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.