IndividualActive
Benjamin Dodge, MD
NPI 1932556826 · Family Medicine Physician · Fort Defiance, AZ
Provider details
- NPI number
- 1932556826
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD2019-0276 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
Fort Defiance Indian Hospital Board Inc.
Corner of Routes N12 & N7
Fort Defiance, AZ 86504
Phone: (928) 729-8097
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2035
Window Rock, AZ 86515-2035
Registry dates
- Enumerated
- 2016-05-20
- Last updated
- 2019-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.