Oliver Lee Hodge II

Primary specialty

DentistTaxonomy code 122300000X

License

5995 Issued in NC

Practice address

235 Westlake Rd
Suite 101
Fayetteville, NC 28314-4863

Phone

(910) 483-0409

Fax

(910) 426-2749

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Oliver Lee Hodge II Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1669406203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WESTLAKE RD",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283144863",
            "telephone_number": "910-483-0409",
            "fax_number": "910-426-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WESTLAKE RD",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283144863",
            "telephone_number": "910-483-0409",
            "fax_number": "910-426-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "OLIVER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "5995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669406203",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVER",
            "last_name": "HODGE",
            "middle_name": "LEE",
            "prefix": "DR.",
            "suffix": "II",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brittany Hinton
• Michael Brian Hite
• Thanh Dinh Hoang, DO
• Conner Hocutt
• Alicia Hodge
• Hodges Family Pharmacy LLC
• Ana Ceide Hodges, M.D.
• Leroy Alexander Hodges, PHARM.D.
• Michael Carson Hodges, MD
• Pearlie Mae Hodges, LCSW

• Dentist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.