Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jeremy L Hodge, DMD

Individual provider Dentist · NPI 1194891242

Mr. Jeremy L Hodge, DMD is a Dentist in Manassas, Virginia. Licensed in Idaho and Virginia. Registered with an NPI since 2006.

Licensed in
ID, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

9012 Mathis Ave
Manassas, VA 20110-5218
Phone: (571) 912-1111
Fax: (571) 921-1112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0101413727 (VA)
General Practice Dentistry Taxonomy 1223G0001X · Licence D3808 (ID)

Record details

NPI number1194891242
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024

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