Organization

Benjamin J. Hodges, D.M.D., P.A.

Dental Clinic/Center in Hattiesburg, MS(View on Map)

Legal Business Name

Benjamin J. Hodges, D.M.D., P.A.

NPI Number

1235301995

NPI Type

Organization

Enumeration Date

04/02/2008

Specialties

(Taxonomies)

Code

261QD0000X

Primary Taxonomy

Yes

Licenses

State

Mississippi

License Number

3235-02

Contact
Information

Purpose

Mailing
Location

Address

106 S 21ST AVE
106 S 21ST AVE

City

Hattiesburg
Hattiesburg

State

MS
MS

Postal Code

39401-6001
39401-6001

Country

US
US

Telephone Number

(601) 583-2000
(601) 583-2000

Authorized Official

Name

Dr. Benjamin Hodges

Title or Position

OWNER

Telephone Number

(601) 583-2000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/02/2008

Provider Address

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