IndividualActive
Wallace Hodge, DMD
NPI 1982772679 · General Practice Dentistry · Beaverton, OR
Wallace Hodge, DMD is a General Practice Dentistry provider in Beaverton, OR (NPI 1982772679).
Provider details
- NPI number
- 1982772679
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D3240 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14425 Sw Allen Blvd
Beaverton, OR 97005-4402
Phone: (503) 520-0707
Fax: (503) 643-0677
Street-level locationGet directions
Mailing address
6950 Ne Campus Way
Hillsboro, OR 97124-5611
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Wallace Hodge's NPI number?
- Wallace Hodge's National Provider Identifier (NPI) is 1982772679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wallace Hodge's specialty?
- Wallace Hodge is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Wallace Hodge located?
- Wallace Hodge's practice location on file with NPPES is 14425 Sw Allen Blvd, Beaverton, OR 97005-4402.
- What is Wallace Hodge's phone number?
- The practice phone number listed in the NPPES registry for Wallace Hodge is (503) 520-0707.
- Is Wallace Hodge's NPI active?
- Yes — Wallace Hodge's NPI (1982772679) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.