Organization
BENJAMIN J HODGES & ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN J HODGES (PRESIDENT)
(850) 478-4260
Entity
Organization
Contact information
Practice address
4400 BAYOU BLVD, STE 3A, PENSACOLA, FL 32503-2673
(850) 478-4260
Mailing address
4400 BAYOU BLVD, STE 3A, PENSACOLA, FL 32503-2673
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19460
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08878360
—
MS
Enumeration date
01/09/2013
Last updated
01/09/2013
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