Matthew Hodgson DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6821 Issued in OK

Legal business name

MATTHEW HODGSON DDS PLLC

Practice address

2406 E Shawnee Rd Ste D
Muskogee, OK 74403-1597

Phone

(918) 682-5518

NPI assigned

Oct 26, 2017

Last updated

Oct 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Hodgson, DDS

Title

Dentist/Owner

Phone

(918) 682-5518

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1518479872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 E SHAWNEE RD STE D",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031597",
            "telephone_number": "918-682-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 E SHAWNEE RD STE D",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031597",
            "telephone_number": "918-682-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW HODGSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "HODGSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "918-682-5518",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "6821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Masters
• Leesa L Mathews, PT
• Susie Yvonne Mathews, L.P.N.
• Jerri Lynn Mathis, MSW, LCSW
• Crystal Matlock, BS
• Paul P Matthews, D.O
• Madisynne Belle Mattioda
• Donald Jene Mayes Sr., SURGICAL TECH
• Glenannetta Mayes, LPC-C, BSN, RN
• Ronald E Mayes

• Dental Clinic/Center in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.