IndividualActive
Donald Dodge
NPI 1245362243 · General Practice Dentistry · Port Jefferson Station, NY
Donald Dodge is a General Practice Dentistry provider in Port Jefferson Station, NY (NPI 1245362243).
Provider details
- NPI number
- 1245362243
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 039774-1 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
492 Old Town Rd
Port Jefferson Station, NY 11776-2249
Phone: (631) 928-1018
Street-level locationGet directions
Mailing address
14 Bunny Ln
East Setauket, NY 11733-3504
Registry dates
- Enumerated
- 2007-03-12
- Last updated
- 2007-07-08
Frequently asked questions
- What is Donald Dodge's NPI number?
- Donald Dodge's National Provider Identifier (NPI) is 1245362243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Donald Dodge's specialty?
- Donald Dodge is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Donald Dodge located?
- Donald Dodge's practice location on file with NPPES is 492 Old Town Rd, Port Jefferson Station, NY 11776-2249.
- What is Donald Dodge's phone number?
- The practice phone number listed in the NPPES registry for Donald Dodge is (631) 928-1018.
- Is Donald Dodge's NPI active?
- Yes — Donald Dodge's NPI (1245362243) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.