Hodges Family Dentistry, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

3092-99 Issued in MS

Legal business name

HODGES FAMILY DENTISTRY, P.A.

Practice address

634 Spicer Dr Ste B
Tupelo, MS 38804-1225

Phone

(662) 842-8514

Fax

(662) 842-8594

NPI assigned

Jul 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Tracy Hodges, D.M.D.

Title

President

Phone

(662) 842-8514

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073710141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 SPICER DR STE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388041225",
            "telephone_number": "662-842-8514",
            "fax_number": "662-842-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 SPICER DR STE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388041225",
            "telephone_number": "662-842-8514",
            "fax_number": "662-842-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODGES FAMILY DENTISTRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-842-8514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "3092-99",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Brooke Hinton, RN
• Kevin Lewis Hitt, MS
• Dana Hobby, M.S., CCC-SLP
• Lisa H Hodge, CFNP
• Hodges Elderly and Disabled Service
• Hodges Orthodontics
• Landra Hodges
• William F Hodges Jr., DMD
• Sara Hoffman, PT, DPT, CPSS, CSCS
• Laken Bryson Hogue, FNP-C

• All providers in Tupelo, MS
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.