William F Hodges Jr., DMD
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Tupelo, MS
NPI 1992030738 · NPPES record last updated Oct 13, 2009
Key facts
- NPI
- 1992030738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 3147 (MS)
- Practice address
- 141A S Commerce St
Tupelo, MS 38804-4502 - Phone
- (662) 407-0713
- Fax
- (662) 407-0714
- NPI assigned
- Oct 13, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3147 | MS | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hodges Orthodontics | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3147 | MS | Yes |
Addresses
Primary practice location
141A S Commerce St
Tupelo, MS 38804-4502
Mailing address
141A S Commerce St
Tupelo, MS 38804-4502
Phone (662) 407-0713
Other providers in Tupelo, MS
- Lisa H Hodge
- Hodges Elderly and Disabled Service
- Hodges Family Dentistry, P.a.
- Hodges Orthodontics
- Landra Hodges
- Sara Hoffman
- Laken Bryson Hogue
- Carrie Leanna Hoing
- Gloria Temple Holland
- Mikayla N Holland
All providers in Tupelo, MS · Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.