Organization
HODGE DENTAL, PLLC
Active
Other names
Hodge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRAY HODGE DMD (DENTIST)
(870) 763-2100
Entity
Organization
Contact information
Practice address
501 N 6TH ST, BLYTHEVILLE, AR 72315-2407
(780) 763-2100
(870) 762-5383
Mailing address
501 N 6TH ST, BLYTHEVILLE, AR 72315-2407
(780) 763-2100
(870) 762-5383
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1226
AR
Other
Enumeration date
06/23/2017
Last updated
07/21/2022
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