Provider Demographics
NPI:1639748197
Name:HODELL, DEVIN JEAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:JEAN
Last Name:HODELL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14200 TALBOT DR
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-3809
Mailing Address - Country:US
Mailing Address - Phone:586-216-5267
Mailing Address - Fax:
Practice Address - Street 1:34121 23 MILE RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48047-2077
Practice Address - Country:US
Practice Address - Phone:586-725-2125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-21
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI290160283122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist