Individual
DR. ADAM W HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
702 HIGHWAY 82 W STE A, GREENWOOD, MS 38930-5069
(662) 453-5536
(662) 453-2324
Mailing address
702 HIGHWAY 82 W STE A, GREENWOOD, MS 38930-5069
(662) 453-5536
(662) 453-2324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3312-04
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01255511
—
MS
Enumeration date
01/30/2007
Last updated
07/08/2007
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