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TAKATA DENTAL HEALTH CENTER INC. NPI 1285785824


NPI Information

NPI: 1285785824
Provider Name: TAKATA DENTAL HEALTH CENTER, INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
445 WAIANUENUE AVE
HILO, HI
ZIP 96720
Phone: (808) 935-3351
Get Directions

TAKATA DENTAL HEALTH CENTER, INC. is a general practice dentist in Hilo, HI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TAKATA DENTAL HEALTH CENTER, INC. NPI is 1285785824. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

445 WAIANUENUE AVE
HILO, HI
ZIP 96720-535
Phone: (808) 935-3351

The provider's authorized official is Ellsworth H Takata .
The authorized official title is President and has the following contact phone number (808) 935-3351.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral Practice2068HAWAIIYes
21223G0001XDentistGeneral Practice991HAWAIIX
31223P0221XDentistPediatric Dentistry751HAWAIIX
41223P0221XDentistPediatric Dentistry2102HAWAIIX

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
151866501MEDICAIDHAWAII

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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