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NPI Code Detail

MEDICARE: DR. JEFFREY R HODES

MEDICARE: DR. JEFFREY R HODES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry028825NY

General Provider Information

NPI Number : 1467629279
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY R HODES
Provider Business Mailing Address
First Line : 190 GOLDENS BRIDGE RD
Second Line :
City : KATONAH
State : NY
Zip : 10536-2810
Country : US
Telephone Number : 914-232-8182
Fax Number : 914-232-0193
Provider Business Practice Location Address
First Line : 190 GOLDENS BRIDGE RD
Second Line :
City : KATONAH
State : NY
Zip : 10536-2810
Country : US
Telephone Number : 914-232-8182
Fax Number : 914-232-0193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2008
Last Update Date : 03/15/2026

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