Individual
STEVEN H. HODOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
243 ELMWOOD AVE, PROVIDENCE, RI 02907-1547
(401) 467-4600
(401) 781-9854
Mailing address
243 ELMWOOD AVE, PROVIDENCE, RI 02907-1547
(401) 467-4600
(401) 781-9854
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN 01854
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8982-7
BCBS
RI
01
—
DEN999
MASHINTUCKET PEQUOT
RI
01
—
RG0053
BCBS OF MA
MA
Enumeration date
12/27/2006
Last updated
07/08/2007
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