Jeremy L Hodge in Manassas - General Practice
Jeremy L Hodge - NPI 1194891242
Jeremy L Hodge is a General Practice in Manassas, Virginia. Jeremy L Hodge practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeremy L Hodge is 1194891242. The last update date is 2013-04-02.
Jeremy L Hodge's current location address is 9012 Mathis Ave, Manassas, Virginia. You can contact this provider via phone number 5719121111 and fax number 5719211112. The mailing address for Jeremy L Hodge is 9012 Mathis Ave, Manassas, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy L Hodge |
|---|---|
| Address | 9012 Mathis Ave, Manassas, Virginia |
| Phone Number | 5719121111 |
| Fax Number | 5719211112 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1194891242 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2013-04-02 |
Provider Mailing Address Detail
| Address | 9012 Mathis Ave |
|---|---|
| City | Manassas |
| State | Virginia (VA) |
| Post Code | 201105218 |
| Phone Number | 5719121111 |
| Fax Number | 5719211112 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D3808 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6K216 | BLUE CROSS | ||
| 806913500 | VA | DENTAQUEST |
Post Comment/ Review Below
What is the unique identifier code issued to Jeremy L Hodge by the Centers for Medicare & Medicaid Services (CMS)?
The Jeremy L Hodge has been assigned the NPI (National Provider Identifier) 1194891242. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Jeremy L Hodge is geographically located?
The Jeremy L Hodge is physically situated at the following location: 9012 Mathis Ave, Manassas, VA, 201105218.
What is the Jeremy L Hodge's area of specialization and corresponding taxonomy classification?
The Jeremy L Hodge's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194891242 to Jeremy L Hodge?
The Centers for Medicare & Medicaid Services originally issued the 1194891242 to Jeremy L Hodge on 2006-11-28.
As of what date was the information regarding Jeremy L Hodge, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeremy L Hodge, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-02.