# JEFFERY E. HODGES DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Albemarle Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417149618
- **Authorized official:** DR. JEFFERY EUGENE HODGES DDS (PRESIDENT)
- **Authorized official phone:** (434) 964-0088

## Contact information

- **Practice address:** 1769 WORTH PARK, CHARLOTTESVILLE, VA 22911-7441
- **Practice address phone:** (434) 964-0088
- **Practice address fax:** (434) 964-0088
- **Mailing address:** 2250 OLD IVY RD, SUITE 3, CHARLOTTESVILLE, VA 22903-4820
- **Mailing address phone:** (434) 293-8944
- **Mailing address fax:** (434) 293-6572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401006146 | VA | Yes |

## Other

- **Enumeration date:** 08/13/2007
- **Last updated:** 08/13/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1780875567 | NPI TYPE 2 | VA |