DR. WALLACE C HODGE DMD
NPI 1982772679
Dentist - General Practice in Beaverton, OR

Active since December 01, 2006
14425 SW ALLEN BLVD, BEAVERTON, OR 97005(503) 520-0707(503) 643-0677 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Wallace C Hodge Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WALLACE C HODGE DMD (NPI 1982772679) is an individual general practice provider in Beaverton, Oregon, licensed in Oregon (D3240) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1982772679
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WALLACE C HODGECredential: DMD
Location Address14425 SW ALLEN BLVDBeaverton, OR 97005-4402
Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (503) 952-2164 · Fax (503) 526-4418
Fax(503) 643-0677
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1982772679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · D3240
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.

14425 SW ALLEN BLVD, Beaverton, OR 97005

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dental Hygienist
14425 SW ALLEN BLVD
BEAVERTON, OR 97005
Dentist (General Practice)
14425 SW ALLEN BLVD
BEAVERTON, OR 97005
Dentist (General Practice)
14425 SW ALLEN BLVD
BEAVERTON, OR 97005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace Hodge's NPI number?

The NPI number for Wallace Hodge is 1982772679. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Wallace Hodge located?

Wallace Hodge practices at 14425 SW Allen Blvd, Beaverton, OR 97005. The listed phone number is (503) 520-0707.

What is Wallace Hodge's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Wallace Hodge was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.