Provider Demographics
NPI:1972476380
Name:BRANDON G HODGE, DDS
Entity type:Organization
Organization Name:BRANDON G HODGE, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MADISON
Authorized Official - Middle Name:RUSH
Authorized Official - Last Name:PAPICH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:615-822-5678
Mailing Address - Street 1:1020 ANTEBELLUM CIR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-7096
Mailing Address - Country:US
Mailing Address - Phone:615-822-5678
Mailing Address - Fax:615-824-8811
Practice Address - Street 1:1020 ANTEBELLUM CIR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-7096
Practice Address - Country:US
Practice Address - Phone:615-822-5678
Practice Address - Fax:615-824-8811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty