Individual
DR. JAMES R HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
714 AVENUE C, FORT PIERCE, FL 34950-4189
(772) 462-3827
(772) 462-3865
Mailing address
714 AVENUE C, FORT PIERCE, FL 34950-4189
(772) 462-3827
(772) 462-3865
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN11614
FL
Other
Enumeration date
10/10/2007
Last updated
04/01/2009
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