Tracy H Takenaka in Dupont - Pediatric Dentistry
Tracy H Takenaka - NPI 1124005525
Tracy H Takenaka is a Pediatric Dentistry in Dupont, Washington. Tracy H Takenaka practices all healthcare services and medical treatments related to Pediatric Dentistry. 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 |
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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 |
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Provider Enumeration Date | 2005-12-27 |
Last Updated Date | 2011-08-11 |
Provider Mailing Address Detail
Address | 1200 Station Dr Ste 180 |
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City | Dupont |
State | Washington (WA) |
Post Code | 983279804 |
Phone Number | 2539640150 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | DE60023910 |
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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 Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
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.