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THE QUEENS MEDICAL CENTER DENTAL CLINIC NPI 1306013842


NPI Information

NPI: 1306013842
Provider Name: THE QUEENS MEDICAL CENTER DENTAL CLINIC

Other Name: QMC DENTAL CLINIC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1301 PUNCHBOWL ST
HONOLULU, HI
ZIP 96813
Phone: (808) 547-4292
Get Directions

THE QUEENS MEDICAL CENTER DENTAL CLINIC is a general practice dentist in Honolulu, 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. THE QUEENS MEDICAL CENTER DENTAL CLINIC NPI is 1306013842. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Qmc Dental Clinic.

The provider's business location address is:

1301 PUNCHBOWL ST
HONOLULU, HI
ZIP 96813-402
Phone: (808) 547-4292
Fax: (808) 585-5028

The provider's authorized official is Arthur Ushijima .
The authorized official title is President & Ceo and has the following contact phone number (808) 547-4688.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/14/2008.


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 PracticeDT1920HAWAIIYes

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
1534819-01MEDICAIDHAWAII

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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