Randall P Jaurequi in Lihue - General Practice
Randall P Jaurequi - NPI 1275694655
Randall P Jaurequi is a General Practice in Lihue, Hawaii. Randall P Jaurequi practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randall P Jaurequi is 1275694655. The last update date is 2014-08-01.
Randall P Jaurequi's current location address is 4370 Kukui Grove St, Lihue, Hawaii. You can contact this provider via phone number 8082458866 and fax number 8082460698. The mailing address for Randall P Jaurequi is 4370 Kukui Grove St, Lihue, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall P Jaurequi |
|---|---|
| Address | 4370 Kukui Grove St, Lihue, Hawaii |
| Phone Number | 8082458866 |
| Fax Number | 8082460698 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1275694655 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2014-08-01 |
Provider Mailing Address Detail
| Address | 4370 Kukui Grove St |
|---|---|
| City | Lihue |
| State | Hawaii (HI) |
| Post Code | 967662001 |
| Phone Number | 8082458866 |
| Fax Number | 8082460698 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2009 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50514101 | HI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randall P Jaurequi by the Centers for Medicare & Medicaid Services?
The Randall P Jaurequi has been issued the NPI (National Provider Identifier) 1275694655, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Randall P Jaurequi's physical address?
The Randall P Jaurequi is physically located at 4370 Kukui Grove St, in the city of Lihue, HI, with the postal code 967662001.
What is the Randall P Jaurequi's area of specialization and corresponding taxonomy classification?
The Randall P Jaurequi's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did Randall P Jaurequi receive its 1275694655 assignment from the Centers for Medicare & Medicaid Services?
The Randall P Jaurequi was assigned its 1275694655 on 2006-12-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Randall P Jaurequi last refreshed?
The information related to the Randall P Jaurequi, including its address, specialty, and other relevant details, was last updated on 2014-08-01.
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