Jay M. Hodge D.D.S.

NPI 1629285234 - Dentist - 1223G0001X

NPI Details
NPI 1629285234
Gender Male
Enumeration Date 05/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6247 BROOKSIDE BLVD
SUITE 207
KANSAS CITY MO, 64113-1637, US
Phone (816) 523-1444
Fax (816) 363-2899
Business Location
6247 BROOKSIDE BLVD
SUITE 207
KANSAS CITY MO, 64113-1637, US
Phone (816) 523-1444
Fax (816) 363-2899
Toxanomy
Taxonomy Code 1223G0001X
License State Missouri
License Number 12507
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According to our database, Dr. Jay M. Hodge D.D.S. NPI is 1629285234, taxonomy code is 1223G0001X and license number is 12507, license state is located at Missouri. Jay M. Hodge D.D.S. physically located at 6247 Brookside Blvd, Kansas City MO, 64113-1637. NPI Number Jay M. Hodge D.D.S. has the Individual type.

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1629285234 NPI number is provided on an as is basis without warranty of any kind. 1629285234 is maintained by the National Plan & Provider Enumeration System. The contents of Jay M. Hodge D.D.S. are for informational purposes only.