Dr Earl Dodgion, DDS is a
Dentist - General Practice based in South Fork, Colorado. Dr Earl Dodgion is licensed to practice in Colorado (license number 592) and his current practice location is
0130 Ponderosa Drive, South Fork, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 873-5846.
NPI number for Dr Earl Dodgion is 1821057589 and his current mailing address is Po Box 247, South Fork, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821057589.
Healthcare Provider's Profile
Full Name | Dr Earl Dodgion |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 0130 Ponderosa Drive, South Fork, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821057589
- Provider Enumeration Date: 03/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Earl Dodgion such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821057589 | NPI | - | NPPES |
02005924 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 592 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Earl Dodgion is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Earl Dodgion, DDS Po Box 247, South Fork, CO 81154-0247 Ph: (719) 873-5846 | Dr Earl Dodgion, DDS 0130 Ponderosa Drive, South Fork, CO 81154-0247 Ph: (719) 873-5846 |
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