MEDICARE: TARA L 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
1	122300000X	Dentist	8544	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871689950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA L HUDSON DDS

Provider Business Mailing Address
First Line	:	1622 GROVE ST
Second Line	:
City	:	MARYSVILLE
State	:	WA
Zip	:	98270-4302
Country	:	US
Telephone Number	:	360-659-5611
Fax Number	:	360-653-9577

Provider Business Practice Location Address
First Line	:	1622 GROVE ST
Second Line	:
City	:	MARYSVILLE
State	:	WA
Zip	:	98270-4302
Country	:	US
Telephone Number	:	360-659-5611
Fax Number	:	360-653-9577

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	07/09/2007

Similar Medicare Providers

1619718947 — JANAE VICTORIA XHELILI PA-C
Practice Location Address:

1630 GROVE ST
MARYSVILLE, WA
98270-4302

Practice Phone: 360-653-3500
Practice Fax: 360-657-3268

1962495929 — MISS CAROLYN MARY FREED RN, MN, MSN, ARNP
Practice Location Address:

1630 GROVE ST
MARYSVILLE, WA
98270-4302

Practice Phone: 360-653-3500
Practice Fax: 360-657-3268

1750477857 — TARA HUDSON DDS PC
Practice Location Address:

1622 GROVE ST
MARYSVILLE, WA
98270-4302

Practice Phone: 360-659-5611
Practice Fax: 360-653-9577

1144469099 — MRS. KAREN BLOOM ARNP
Practice Location Address:

1630 GROVE ST
MARYSVILLE, WA
98270-4302

Practice Phone: 360-653-3500
Practice Fax: 360-657-3268

1033853429 — WESTERN WASHINGTON MEDICAL GROUP, INC PS
Practice Location Address:

1630 GROVE ST
MARYSVILLE, WA
98270-4302

Practice Phone: 360-653-3500
Practice Fax:

1629706502 — M VIRK DMD, PLLC
Practice Location Address:

1622 GROVE STREET
MARYSVILLE, WA
98270-4302

Practice Phone: 360-659-5611
Practice Fax:

Directions to “ TARA L HUDSON DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.