Tetsuya Shirasuka in Des Moines - General Practice
Tetsuya Shirasuka - NPI 1740307214
Tetsuya Shirasuka is a General Practice in Des Moines, Washington. Tetsuya Shirasuka practices all healthcare services and medical treatments related to General Practice. The NPI Number for Tetsuya Shirasuka is 1740307214. The last update date is 2017-08-25.
Tetsuya Shirasuka's current location address is 22625 Pacific Hwy S, Des Moines, Washington. You can contact this provider via phone number 2068785665 and fax number 2068701504. The mailing address for Tetsuya Shirasuka is 22625 Pacific Hwy S, Des Moines, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tetsuya Shirasuka |
|---|---|
| Address | 22625 Pacific Hwy S, Des Moines, Washington |
| Phone Number | 2068785665 |
| Fax Number | 2068701504 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1740307214 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2017-08-25 |
Provider Mailing Address Detail
| Address | 22625 Pacific Hwy S |
|---|---|
| City | Des Moines |
| State | Washington (WA) |
| Post Code | 981985110 |
| Phone Number | 2068785665 |
| Fax Number | 2068701504 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DE00010449 |
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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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What is the unique 10-digit identification code issued to Tetsuya Shirasuka by the Centers for Medicare & Medicaid Services?
The Tetsuya Shirasuka has been assigned the NPI (National Provider Identifier) 1740307214 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Tetsuya Shirasuka?
The Tetsuya Shirasuka is physically situated at 22625 Pacific Hwy S, in the city of Des Moines, state of WA, with the postal code 981985110.
What is Tetsuya Shirasuka's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tetsuya Shirasuka's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740307214 to Tetsuya Shirasuka?
The Centers for Medicare & Medicaid Services originally issued the 1740307214 to Tetsuya Shirasuka on 2007-03-22.
When was the information pertaining to Tetsuya Shirasuka most recently updated or revised?
The details related to Tetsuya Shirasuka, including its address, specialty, and other relevant information, were last updated or revised on 2017-08-25.