Provider Demographics
NPI:1427128396
Name:DODDS, DORIAN ARTHUR (DDS)
Entity type:Individual
Prefix:DR
First Name:DORIAN
Middle Name:ARTHUR
Last Name:DODDS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2545 CEANOTHUS AVE
Mailing Address - Street 2:SUITE #134
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-7717
Mailing Address - Country:US
Mailing Address - Phone:530-342-5653
Mailing Address - Fax:530-342-8023
Practice Address - Street 1:2545 CEANOTHUS AVE
Practice Address - Street 2:SUITE #134
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-7717
Practice Address - Country:US
Practice Address - Phone:530-342-5653
Practice Address - Fax:530-342-8023
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA547031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice