Organization
JEFFERY E. HODGES DDS PC
Active
Other names
Albemarle Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY EUGENE HODGES DDS (PRESIDENT)
(434) 964-0088
Entity
Organization
Contact information
Practice address
1769 WORTH PARK, CHARLOTTESVILLE, VA 22911-7441
(434) 964-0088
(434) 964-0088
Mailing address
2250 OLD IVY RD, SUITE 3, CHARLOTTESVILLE, VA 22903-4820
(434) 293-8944
(434) 293-6572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006146
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780875567
NPI TYPE 2
VA
Enumeration date
08/13/2007
Last updated
08/13/2007
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