Organization
JOHN HODGE, DMD, MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HODGE DMD, MS (OWNER)
(601) 482-7700
Entity
Organization
Contact information
Practice address
4227 POPLAR SPRINGS DR, MERIDIAN, MS 39305-3311
(601) 482-7700
(601) 482-0076
Mailing address
4227 POPLAR SPRINGS DR, MERIDIAN, MS 39305-3311
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
273193
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660180
—
MS
Enumeration date
06/23/2008
Last updated
06/23/2008
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