Provider Demographics
NPI:1811231566
Name:HUDSON, PAGE A (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAGE
Middle Name:A
Last Name:HUDSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:2100 SOLAR DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-2661
Mailing Address - Country:US
Mailing Address - Phone:805-485-1111
Mailing Address - Fax:805-981-7050
Practice Address - Street 1:2100 SOLAR DR
Practice Address - Street 2:SUITE 200
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2661
Practice Address - Country:US
Practice Address - Phone:805-485-1111
Practice Address - Fax:805-981-7050
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2020-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA362491223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics