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MICHAEL E CLARKE DDSMS INC NPI 1073644068


NPI Information

NPI: 1073644068
Provider Name: MICHAEL E CLARKE DDSMS INC

Doing Business As: MICHAEL E. CLARKE DDSMS

Classification: Dentist - 1223P0106X
Entity Type: Organization

Specialization: Oral and Maxillofacial Pathology

Address:
24 N CHURCH ST
SUITE 206
WAILUKU, HI
ZIP 96793
Phone: (808) 242-0077
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MICHAEL E CLARKE DDSMS INC is an oral and maxillofacial pathology dentist in Wailuku, HI. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. MICHAEL E CLARKE DDSMS INC NPI is 1073644068. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Michael E. Clarke Ddsms.

The provider's business location address is:

24 N CHURCH ST
SUITE 206
WAILUKU, HI
ZIP 96793-680
Phone: (808) 242-0077
Fax: (808) 243-8007

The provider's authorized official is Michael Ellsworth Clarke .
The authorized official title is Owner and has the following contact phone number (808) 242-0077.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0106XDentistOral and Maxillofacial PathologyHAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11439OTHERHAWAIIHAWAII DENTAL SERVICE
200C0059976OTHERHAWAIIHAWAII MEDICAL SERVICE AS
3526220-01MEDICAIDHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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