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JOHN HODGE, DMD, MS

Dental Providers Dentist Orthodontics and Dentofacial Orthopedics

Provider NPI: 1578724506

Organization Information:
Organization Name:  JOHN HODGE, DMD, MS
Organization is not Subpart
Authorized Official:  JOHN  HODGE  OWNER  601-482-7700

Practice Location:
4227 POPLAR SPRINGS DR  MERIDIAN, MS 39305-3311 US
Tel: 601-482-7700  Fax: 601-482-0076

Business Mailing Address:
4227 POPLAR SPRINGS DR  MERIDIAN, MS 39305-3311 US
Tel: --  Fax: --

NPI Information:
NPI: 1578724506
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
MS273193

Other Provider Identifiers:

IssuerNumberStateType
00660180MS05



American Medical Association 2012 taxonomy code information

Code: 1223X0400X

Type:

Classification:



Definition:



MEDICAL JOBS MS - Page 1

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