Brice H Takata is a Pediatric Dentistry in Hilo, Hawaii. Brice H Takata practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Brice H Takata is 1164572764. The last update date is 2007-07-08.
Brice H Takata's current location address is 445 Waianuenue Ave, Hilo, Hawaii. You can contact this provider via phone number 8089353351. The mailing address for Brice H Takata is 445 Waianuenue Ave, Hilo, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brice H Takata |
|---|---|
| Address | 445 Waianuenue Ave, Hilo, Hawaii |
| Phone Number | 8089353351 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1164572764 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 445 Waianuenue Ave |
|---|---|
| City | Hilo |
| State | Hawaii (HI) |
| Post Code | 967202535 |
| Phone Number | 8089353351 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2102 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25499-5 | HI | HMSA | |
| 2102 | HI | HAWAII DENTAL SERVICE | |
| 56345201 | HI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brice H Takata by the Centers for Medicare & Medicaid Services?
The Brice H Takata has been assigned the NPI (National Provider Identifier) 1164572764. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Brice H Takata?
The Brice H Takata is physically situated at 445 Waianuenue Ave, in the city of Hilo, state of HI, with the postal code 967202535.
What is Brice H Takata's area of expertise and its corresponding taxonomy classification?
The Brice H Takata's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
When did Brice H Takata receive its 1164572764 assignment?
The Brice H Takata was assigned its 1164572764 on 2007-01-12, which is the date when this unique identifier was issued to the organization.
When was the Brice H Takata's information last updated?
The Brice H Takata's information was last updated on 2007-07-08.
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