Individual
MR. JEREMY L HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9012 MATHIS AVE, MANASSAS, VA 20110-5218
(571) 912-1111
(571) 921-1112
Mailing address
9012 MATHIS AVE, MANASSAS, VA 20110-5218
(571) 912-1111
(571) 921-1112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0101413727
VA
1223G0001X
General Practice Dentistry
D3808
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6K216
BLUE CROSS
—
01
—
806913500
DENTAQUEST
VA
Enumeration date
11/28/2006
Last updated
02/20/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us