Provider Demographics
NPI:1437327525
Name:JAMES M HODGES JR DDS
Entity Type:Organization
Organization Name:JAMES M HODGES JR DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:HODGES JR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:252-637-9783
Mailing Address - Street 1:2301 GRACE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-4407
Mailing Address - Country:US
Mailing Address - Phone:252-637-9783
Mailing Address - Fax:252-637-1296
Practice Address - Street 1:2301 GRACE AVE
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-4407
Practice Address - Country:US
Practice Address - Phone:252-637-9783
Practice Address - Fax:252-637-1296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3932261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental