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DR. DUANE K YAMASHIRO DDSMS NPI 1629275151


NPI Information

NPI: 1629275151
Provider Name: DR. DUANE K YAMASHIRO, DDS,MS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
100 N MEDICAL DR
STE 3575
SALT LAKE CITY, UT
ZIP 84113
Phone: (801) 662-3930
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DR. Duane K Yamashiro, DDS,MS is an oral and maxillofacial surgery dentist in Salt Lake City, UT with 45 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Duane K Yamashiro, DDS,MS NPI is 1629275151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 N MEDICAL DR
STE 3575
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 662-3930
Fax: (801) 662-3933

The NPI 1629275151 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/28/2007 and was last updated on 12/20/2021.


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
1122300000XDentist141853-9921UTAHNo
21223P0221XDentistPediatric Dentistry141853UTAHNo
31223S0112XDentistOral and Maxillofacial Surgery141853-9921UTAHYes
41223X0400XDentistOrthodontics and Dentofacial Orthopedics141853UTAHNo

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
1805165800MEDICAIDIDAHO
2112651200MEDICAIDWYOMING

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.