Hodgson, Brian David

Hodgson, Brian David is an individual health care provider with primary practice located at 1801 W Wisconsin Ave , Milwaukee WI 53233-2186. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Hodgson, Brian David can be contacted via phone (414) 288-1566.

Contact Information

Primary practice address
1801 W Wisconsin Ave Milwaukee WI 53233-2186
Phone: (414) 288-1566
Fax: (414) 288-0765
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019-021052 Illinois
Dental Providers / Pediatric Dentistry 1223P0221X 4214-015 Wisconsin

Profile Details

NPI number 1982693099
LBN Legal business name Hodgson, Brian David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jul 31st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982693099 NPPES
Wisconsin MEDICAID 33733500

Popular Providers