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SHIZUOKA PLLC NPI 1871258061


NPI Information

NPI: 1871258061
Provider Name: SHIZUOKA PLLC
Classification: Dentist - 1223D0004X
Entity Type: Organization

Specialization: Dentist Anesthesiologist

Address:
1441 MIDLOTHIAN PKWY
MIDLOTHIAN, TX
ZIP 76065
Phone: (972) 954-9339
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SHIZUOKA PLLC is a dentist anesthesiologist dentist in Midlothian, TX. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. SHIZUOKA PLLC NPI is 1871258061. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1441 MIDLOTHIAN PKWY
MIDLOTHIAN, TX
ZIP 76065
Phone: (972) 954-9339
Fax: (972) 945-3040

The provider's authorized official is Hiroshi Saka .
The authorized official title is Director and has the following contact phone number (972) 954-9339.

The enumeration date for this NPI number is 11/3/2021 and was last updated on 11/3/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223D0004XDentistDentist AnesthesiologistYes

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
1212955335MEDICAIDTEXAS

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

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