# TARA R. HODGES, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790794998
- **Authorized official:** DR. TARA R. HODGES DDS, PLLC (MEMBER)
- **Authorized official phone:** (480) 782-7416

## Contact information

- **Practice address:** 2470 W RAY ROAD, SUITE 1, CHANDLER, AZ 85224
- **Practice address phone:** (480) 782-7416
- **Practice address fax:** (480) 782-7418
- **Mailing address:** 2470 W RAY ROAD, SUITE 1, CHANDLER, AZ 85224
- **Mailing address phone:** (480) 782-7416
- **Mailing address fax:** (480) 782-7418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5463 | AZ | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 08/22/2020