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NPI Code Detail

MEDICARE: DR. MEREDITH MARIE HUDSON DDS

MEDICARE:  DR. MEREDITH MARIE HUDSON  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist20203TX
2122300000XDentistDEN.00203765CO

General Provider Information

NPI Number : 1154412351
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEREDITH MARIE HUDSON DDS
Provider Business Mailing Address
First Line : 1631 WETZEL AVE
Second Line : BLDG 815
City : COLORADO SPRINGS
State : CO
Zip : 80913-4095
Country : US
Telephone Number : 719-526-5537
Fax Number : 719-524-2843
Provider Business Practice Location Address
First Line : 7935 CONSTITUTION AVE STE 110
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80951-8903
Country : US
Telephone Number : 719-596-9668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 02/11/2019

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Directions to “ DR. MEREDITH MARIE HUDSON DDS” Practice Location

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