ANCHETA PEDIATRIC DENTAL LLC NPI 1891235560

NPI Information

NPI: 1891235560
Provider Name: ANCHETA PEDIATRIC DENTAL LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
98-1247 KAAHUMANU ST
SUITE 205
AIEA, HI
ZIP 96701
Phone: (808) 487-1009
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ANCHETA PEDIATRIC DENTAL LLC is a dental clinic center in Aiea, HI. ANCHETA PEDIATRIC DENTAL LLC NPI is 1891235560. The provider is registered as an organization entity type.

The provider's business location address is:

98-1247 KAAHUMANU ST
SUITE 205
AIEA, HI
ZIP 96701-311
Phone: (808) 487-1009
Fax: (808) 487-1004

The provider's authorized official is Janel Ancheta-carroll .
The authorized official title is Owner/pediatric Dentist and has the following contact phone number (808) 561-2054.

The enumeration date for this NPI number is 3/1/2017 and was last updated on 3/1/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DT-2079	HAWAII	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	574857-03	MEDICAID	HAWAII

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: 5/5/2024

NPI Synchronization or Removal

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