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DR. EARL DODGION D.D.S.
NPI 1821057589
Dentist - General Practice in South Fork, CO

Active since March 21, 2006
0130 PONDEROSA DRIVE, SOUTH FORK, CO 81154(719) 873-5846(719) 873-1516 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Earl Dodgion D.d.s. NPPES

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

DR. EARL DODGION D.D.S. (NPI 1821057589) is an individual general practice provider in South Fork, Colorado, licensed in Colorado (592) and active in the NPI registry since March 2006.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1821057589
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EARL DODGIONCredential: D.D.S.
Location Address0130 PONDEROSA DRIVESouth Fork, CO 81154-0247
Mailing AddressPo Box 247South Fork, CO 81154-0247 · (719) 873-5846 · Fax (719) 873-1516
Fax(719) 873-1516
Sole ProprietorNo
Enumeration DateMarch 21, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1821057589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CO · 592
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.

0130 PONDEROSA DRIVE, South Fork, CO 81154

Other Identifiers 1

Medicaid02005924CO

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821057589, enumerated as an "individual" on March 21, 2006.

The provider is located at 0130 PONDEROSA DRIVE SOUTH FORK, CO 81154 and the phone number is (719) 873-5846.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.