Tracy H Takenaka in Dupont - General Practice
Tracy H Takenaka - NPI 1124005525
Tracy H Takenaka is a General Practice in Dupont, Washington. Tracy H Takenaka practices all healthcare services and medical treatments related to General Practice. The NPI Number for Tracy H Takenaka is 1124005525. The last update date is 2011-08-11.
Tracy H Takenaka's current location address is 1200 Station Dr Ste 180, Dupont, Washington. You can contact this provider via phone number 2539640150. The mailing address for Tracy H Takenaka is 1200 Station Dr Ste 180, Dupont, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy H Takenaka |
|---|---|
| Address | 1200 Station Dr Ste 180, Dupont, Washington |
| Phone Number | 2539640150 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1124005525 |
|---|---|
| Provider Enumeration Date | 2005-12-27 |
| Last Updated Date | 2011-08-11 |
Provider Mailing Address Detail
| Address | 1200 Station Dr Ste 180 |
|---|---|
| City | Dupont |
| State | Washington (WA) |
| Post Code | 983279804 |
| Phone Number | 2539640150 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 051468-1 |
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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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Post Comment/ Review Below
Could you please provide the complete street address where Tracy H Takenaka is physically located?
The Tracy H Takenaka is physically situated at the following address: 1200 Station Dr Ste 180, Dupont, WA, 983279804.
What is Tracy H Takenaka's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tracy H Takenaka is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
When did the Tracy H Takenaka receive its 1124005525?
The Tracy H Takenaka was issued its 1124005525 on 2005-12-27, which is the date when the organization was assigned this unique identifier.
On what date did the Tracy H Takenaka receive its 1124005525 assignment from the Centers for Medicare & Medicaid Services?
The Tracy H Takenaka was assigned its 1124005525 by the Centers for Medicare & Medicaid Services on 2005-12-27.
As of what date were the details related to Tracy H Takenaka most recently updated or revised?
The information pertaining to Tracy H Takenaka, including its address, specialty, and other relevant details, was last updated or revised on 2011-08-11.