Jed P.K. Shitabata in Honolulu - General Practice

Jed P.K. Shitabata - NPI 1063609451

Jed P.K. Shitabata is a General Practice in Honolulu, Hawaii. Jed P.K. Shitabata practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jed P.K. Shitabata is 1063609451. The last update date is 2007-09-28.

Jed P.K. Shitabata's current location address is 1441 Kapiolani Blvd, Honolulu, Hawaii. You can contact this provider via phone number 8089491995. The mailing address for Jed P.K. Shitabata is 1441 Kapiolani Blvd, Honolulu, Hawaii. To know further, please read the information below!

Provider Profile Detail

Provider Name Jed P.K. Shitabata
Address 1441 Kapiolani Blvd, Honolulu, Hawaii
Phone Number 8089491995
Fax Number
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1063609451
Provider Enumeration Date 2007-09-28
Last Updated Date 2007-09-28

Provider Mailing Address Detail

Address 1441 Kapiolani Blvd
City Honolulu
State Hawaii (HI)
Post Code 968144402
Phone Number 8089491995
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DT-1561
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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FAQs about Jed P.K. Shitabata

What is the unique provider identifier assigned to Jed P.K. Shitabata?

The Jed P.K. Shitabata has been issued the NPI (National Provider Identifier) 1063609451 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Jed P.K. Shitabata's physical address?

The Jed P.K. Shitabata is physically located at 1441 Kapiolani Blvd, in the city of Honolulu, HI, with the postal code 968144402.

What is the Jed P.K. Shitabata's specialty and taxonomy code?

The Jed P.K. Shitabata's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Jed P.K. Shitabata receive the assignment of its 1063609451 from the Centers for Medicare & Medicaid Services?

The Jed P.K. Shitabata was issued its 1063609451 by the Centers for Medicare & Medicaid Services on 2007-09-28.

As of what date was the information pertaining to Jed P.K. Shitabata, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jed P.K. Shitabata, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-28.

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