Provider Demographics
NPI:1528377272
Name:DODD, DANA (DC)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:DODD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 E CLARENDON DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-2914
Mailing Address - Country:US
Mailing Address - Phone:214-941-4903
Mailing Address - Fax:
Practice Address - Street 1:17742 PRESTON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-6199
Practice Address - Country:US
Practice Address - Phone:214-396-7827
Practice Address - Fax:972-694-0299
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11548111N00000X
2472E0500X, 246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No111N00000XChiropractic ProvidersChiropractor
No2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEG