Provider Demographics
NPI:1982622189
Name:HODGES, JAMES MARCUS JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MARCUS
Last Name:HODGES
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 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
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice