Provider Demographics
NPI:1700598828
Name:DODSON ENDODONTICS P.L.L.C
Entity type:Organization
Organization Name:DODSON ENDODONTICS P.L.L.C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROYZENBLAT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-806-6311
Mailing Address - Street 1:756 MCGUIRE PL
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1630
Mailing Address - Country:US
Mailing Address - Phone:757-806-6311
Mailing Address - Fax:757-586-5052
Practice Address - Street 1:756 MCGUIRE PL
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1630
Practice Address - Country:US
Practice Address - Phone:757-806-6311
Practice Address - Fax:757-586-5052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty