Hodge, Oliver Lee

Hodge, Oliver Lee is an sole proprietor health care provider with primary practice located at 235 Westlake Rd Suite 101, Fayetteville NC 28314-4863. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hodge, Oliver Lee can be contacted via phone (910) 483-0409.

Contact Information

Primary practice address
235 Westlake Rd Suite 101 Fayetteville NC 28314-4863
Fax: (910) 426-2749
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5995 North Carolina

Profile Details

NPI number 1669406203
LBN Legal business name Hodge, Oliver Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jul 17th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669406203 NPPES
North Carolina MEDICAID 1669406203

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