Hodges Family Dentistry, P.A.
Dentist in Tupelo, MS. Organization (NPI-2).
NPI number1073710141
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1073710141
- Entity type
- Organization (NPI-2)
- Legal business name
- Hodges Family Dentistry, P.A.
- Organization subpart
- No
- Enumeration date
- Jul 1, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 3092-99 | MS | Yes |
Practice location
634 Spicer Dr Ste BTupelo, MS 38804-1225
Phone 662-842-8514 · Fax 662-842-8594
Mailing address
634 Spicer Dr Ste BTupelo, MS 38804-1225
Phone 662-842-8514 · Fax 662-842-8594
Authorized official
John Tracy Hodges
President
6628428514
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