Individual
ERIC D HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2410 SOUTH 73RD ST, OMAHA, NE 68124
(402) 397-3377
(402) 343-1039
Mailing address
2410 SOUTH 73RD ST, OMAHA, NE 68124
(402) 397-3377
(402) 343-1039
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5524
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47081513000
—
NE
Enumeration date
03/08/2007
Last updated
07/08/2007
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