Individual
DR. THOMAS WILLIAM HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
310 HIGHWAY 51 S, BATESVILLE, MS 38606-2615
(662) 563-9550
Mailing address
PO BOX 473, BATESVILLE, MS 38606-0473
(662) 563-9550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MS -2875-95
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660155
—
MS
Enumeration date
12/20/2006
Last updated
05/02/2022
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