Individual
DR. OLIVER LEE HODGE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 WESTLAKE RD, SUITE 101, FAYETTEVILLE, NC 28314-4863
(910) 483-0409
(910) 426-2749
Mailing address
235 WESTLAKE RD, SUITE 101, FAYETTEVILLE, NC 28314-4863
(910) 483-0409
(910) 426-2749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5995
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669406203
—
NC
Enumeration date
07/10/2006
Last updated
07/17/2013
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