Healthcare Provider Details

I. General information

NPI: 1417877176
Provider Name (Legal Business Name): ASHLEY HODERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 BROADWAY STE 101
TACOMA WA
98402-3702
US

IV. Provider business mailing address

732 BROADWAY STE 101
TACOMA WA
98402-3702
US

V. Phone/Fax

Practice location:
  • Phone: 253-777-0600
  • Fax: 253-295-5452
Mailing address:
  • Phone: 253-777-0600
  • Fax: 253-295-5452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHLEY HODERS
Title or Position: OWNER
Credential: DMD MS
Phone: 954-254-8307