Individual
DR. JOHN J HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
4227 POPLAR SPRINGS DR, MERIDIAN, MS 39305-3311
(601) 482-7700
(601) 482-0076
Mailing address
4227 POPLAR SPRINGS DR, MERIDIAN, MS 39305-3311
(601) 482-7700
(601) 482-0076
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2731-93
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04529520
—
MS
Enumeration date
11/07/2006
Last updated
06/18/2008
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