Individual provider · Type 1 NPI

Wallace C. Hodge, DMD

General Practice Dentistry · Beaverton, OR

NPI number 1982772679 Active

Practice location

14425 SW Allen Blvd
Beaverton, OR 97005-4402

Call (503) 520-0707 Map

Fax (503) 643-0677

Mailing address

6950 NE Campus Way
Hillsboro, OR 97124-5611

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD3240 (OR)

General Practice Dentistry: 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.

3 other providers at this address

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About NPI 1982772679

Wallace C. Hodge, DMD's National Provider Identifier is 1982772679, issued on Dec 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Beaverton, OR. The record was last updated on Jul 8, 2007.