John W Etzenbach in Tripler Amc - Periodontics
John W Etzenbach - NPI 1790740322
John W Etzenbach is a Periodontics in Tripler Amc, Hawaii. John W Etzenbach practices all healthcare services and medical treatments related to Periodontics. The NPI Number for John W Etzenbach is 1790740322. The last update date is 2015-02-05.
John W Etzenbach's current location address is 1 Jarrett White Rd Bldg 320, Tripler Amc, Hawaii. You can contact this provider via phone number 8084339200 and fax number 8084339194. The mailing address for John W Etzenbach is 1 Jarrett White Rd Bldg 320, Tripler Amc, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John W Etzenbach |
|---|---|
| Address | 1 Jarrett White Rd Bldg 320, Tripler Amc, Hawaii |
| Phone Number | 8084339200 |
| Fax Number | 8084339194 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1790740322 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2015-02-05 |
Provider Mailing Address Detail
| Address | 1 Jarrett White Rd Bldg 320 |
|---|---|
| City | Tripler Amc |
| State | Hawaii (HI) |
| Post Code | 968595001 |
| Phone Number | 8084339200 |
| Fax Number | 8084339194 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 19018177 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
|
Post Comment/ Review Below
What is the unique identifier code issued to John W Etzenbach by the Centers for Medicare & Medicaid Services (CMS)?
The John W Etzenbach has been assigned the NPI (National Provider Identifier) 1790740322. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where John W Etzenbach is geographically located?
The John W Etzenbach is physically situated at the following location: 1 Jarrett White Rd Bldg 320, Tripler Amc, HI, 968595001.
What is John W Etzenbach's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John W Etzenbach is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
When did John W Etzenbach receive its 1790740322 assignment?
The John W Etzenbach was assigned its 1790740322 on 2006-04-18, which is the date when this unique identifier was issued to the organization.
As of what date were the John W Etzenbach's details last updated?
The information pertaining to the John W Etzenbach, including its address, specialty, and other details, was most recently updated on 2015-02-05.