Provider Demographics
NPI:1285849802
Name:JANE L. DODSON DDS & ASSOC., INC.
Entity Type:Organization
Organization Name:JANE L. DODSON DDS & ASSOC., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:L
Authorized Official - Last Name:DODSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-439-2230
Mailing Address - Street 1:88 CENTER RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-2700
Mailing Address - Country:US
Mailing Address - Phone:440-439-2230
Mailing Address - Fax:440-439-9070
Practice Address - Street 1:88 CENTER RD
Practice Address - Street 2:SUITE 330
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-2700
Practice Address - Country:US
Practice Address - Phone:440-439-2230
Practice Address - Fax:440-439-0907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH170951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty