Hodges, Scott Jeffrey
Hodges, Scott Jeffrey is an individual health care provider with primary practice located at 3366 Burton St Se , Grand Rapids MI 49546-4353. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Hodges, Scott Jeffrey can be contacted via phone (616) 949-3541.Contact Information
Primary practice address
3366 Burton St Se
Grand Rapids MI 49546-4353
Phone: (616) 949-3541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 2901014422 | Michigan |
Profile Details
| NPI number | 1780701524 |
|---|---|
| LBN Legal business name | Hodges, Scott Jeffrey |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780701524 | NPPES |
| Michigan | Other | 2901014422 | STATE DENTAL LICENSE |
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