Organization
MATTHEW HODGSON DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HODGSON DDS (DENTIST/OWNER)
(918) 682-5518
Entity
Organization
Contact information
Practice address
2406 E SHAWNEE RD STE D, MUSKOGEE, OK 74403-1597
(918) 682-5518
Mailing address
2406 E SHAWNEE RD STE D, MUSKOGEE, OK 74403-1597
(918) 682-5518
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6821
OK
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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