Organization
JEFFERY E. HODGES DDS PC
Active
Organization
JEFFERY E. HODGES DDS PC
Active
Parent organization
JEFFERY E. HODGES DDS PC
Other names
Albemarle Dental Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERY E. HODGES DDS PC
Authorized official
DR. JEFFERY EUGENE HODGES DDS (PRESIDENT)
(434) 293-8944
Entity
Organization
Contact information
Practice address
2250 OLD IVY RD, SUITE 3, CHARLOTTESVILLE, VA 22903-4820
(434) 293-8944
(434) 293-6572
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
1223G0001X
General Practice Dentistry
0401006146
VA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110427143
TYPE 1 NPI
VA
Enumeration date
08/06/2007
Last updated
06/05/2019
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