Ellsworth H Takata in Hilo - Pediatric Dentistry
Ellsworth H Takata - NPI 1306996939
Ellsworth H Takata is a Pediatric Dentistry in Hilo, Hawaii. Ellsworth H Takata practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Ellsworth H Takata is 1306996939. The last update date is 2007-07-08.
Ellsworth 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 Ellsworth H Takata is 445 Waianuenue Ave, Hilo, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellsworth 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 | 1306996939 |
|---|---|
| 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 | 751 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 52614701 | HI | -- | |
| 6008 | HI | HAWAII DENTAL SERVICE | |
| A8706-2 | HI | HMSA |
Post Comment/ Review Below
What is the unique identifier code issued to Ellsworth H Takata by the Centers for Medicare & Medicaid Services (CMS)?
The Ellsworth H Takata has been assigned the NPI (National Provider Identifier) 1306996939. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Ellsworth H Takata is physically located?
The Ellsworth H Takata is situated at the following address: 445 Waianuenue Ave, Hilo, HI 967202535.
What is Ellsworth H Takata's area of expertise and its corresponding taxonomy classification?
The Ellsworth 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.
On what date was the 1306996939 assigned to Ellsworth H Takata?
The Ellsworth H Takata was issued its 1306996939 on 2007-01-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Ellsworth H Takata's information last updated?
The Ellsworth H Takata's information was last updated on 2007-07-08.