# PHILIP N. HODGE, DDS, PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619320900
- **Authorized official:** DR. PHILIP NORMAN HODGE D.D.S. (OWNER/GENERAL DENTIST)
- **Authorized official phone:** (253) 852-4746

## Contact information

- **Practice address:** 19221 108TH AVE SE STE 4, RENTON, WA 98055-7369
- **Practice address phone:** (253) 852-4746
- **Practice address fax:** (253) 852-4754
- **Mailing address:** 19221 108TH AVE SE STE 4, RENTON, WA 98055-7369
- **Mailing address phone:** (253) 852-4746
- **Mailing address fax:** (253) 852-4754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE 00004936 | WA | Yes |

## Other

- **Enumeration date:** 07/21/2016
- **Last updated:** 07/21/2016