Organization
DR. BENJAMIN J. HODGES AND ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN J. HODGES D.M.D. (GENERAL DENTISTRY)
(601) 764-2745
Entity
Organization
Contact information
Practice address
2683 HWY. 15, 2683 HWY. 15, BAY SPRINGS, MS 39422
(601) 764-2745
(601) 764-3487
Mailing address
2683 HIGHWAY 15 SOUTH, P. O. BOX 1480, BAY SPRINGS, MS 39422
(601) 764-2745
(601) 764-3487
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
323502
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08878360
—
MS
Enumeration date
05/09/2007
Last updated
08/22/2020
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