# DR. BRIAN DAVID HODGSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982693099
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 019-021052 | IL | — |
| 1223P0221X | Pediatric Dentistry | 4214-015 | WI | Yes |

## Other

- **Enumeration date:** 10/20/2005
- **Last updated:** 07/31/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33733500 | — | WI |