| Hodges Family Dentistry, P.a. | |
|
634 Spicer Dr Ste B Tupelo MS 38804-1225 | |
| (662) 842-8514 | |
| (662) 842-8594 |
| Full Name | Hodges Family Dentistry, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 634 Spicer Dr Ste B, Tupelo, Mississippi |
| Authorized Official Name and Position | John Tracy Hodges (PRESIDENT) |
| Authorized Official Contact | 6628428514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hodges Family Dentistry, P.a. 634 Spicer Dr Ste B Tupelo MS 38804-1225 Ph: (662) 842-8514 | Hodges Family Dentistry, P.a. 634 Spicer Dr Ste B Tupelo MS 38804-1225 Ph: (662) 842-8514 |
| NPI Number | 1073710141 |
|---|---|
| Provider Enumeration Date | 07/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073710141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3092-99 (Mississippi) | Primary |
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