Provider Demographics
NPI:1295862852
Name:HODGE, JAMES B III (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:B
Last Name:HODGE
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:13129-H NORTH DALE MABRY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629
Mailing Address - Country:US
Mailing Address - Phone:813-960-8400
Mailing Address - Fax:813-963-3545
Practice Address - Street 1:13129H N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2405
Practice Address - Country:US
Practice Address - Phone:813-960-8400
Practice Address - Fax:813-963-3545
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLDN72701223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics