Shaun Tom Wright in Wailuku - Pediatric Dentistry

Shaun Tom Wright - NPI 1518024587

Shaun Tom Wright is a Pediatric Dentistry in Wailuku, Hawaii. Shaun Tom Wright practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Shaun Tom Wright is 1518024587. The last update date is 2009-03-11.

Shaun Tom Wright's current location address is 99 S Market St, Wailuku, Hawaii. You can contact this provider via phone number 8082445495 and fax number 8082445525. The mailing address for Shaun Tom Wright is 99 S Market St, Wailuku, Hawaii. To know further, please read the information below!

Provider Profile Detail

Provider Name Shaun Tom Wright
Address 99 S Market St, Wailuku, Hawaii
Phone Number 8082445495
Fax Number 8082445525
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1518024587
Provider Enumeration Date 2007-01-02
Last Updated Date 2009-03-11

Provider Mailing Address Detail

Address 99 S Market St
City Wailuku
State Hawaii (HI)
Post Code 967932200
Phone Number 8082445495
Fax Number 8082445525

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No DT 2038
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
47826 CA STATE DENTAL LICENSE NUMB
DT 2038 HI STATE DENTAL LICENSE NUMB

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FAQs about Shaun Tom Wright

What is the unique identification code assigned to Shaun Tom Wright by the Centers for Medicare & Medicaid Services?

The Shaun Tom Wright has been issued the NPI (National Provider Identifier) 1518024587. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Shaun Tom Wright's facilities are situated?

The facilities of Shaun Tom Wright are physically located at the following address: 99 S Market St, Wailuku, HI, 967932200.

What is the Shaun Tom Wright's specialty and taxonomy code?

The Shaun Tom Wright's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1518024587 to Shaun Tom Wright?

The Centers for Medicare & Medicaid Services originally issued the 1518024587 to Shaun Tom Wright on 2007-01-02.

As of what date was the information regarding Shaun Tom Wright, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Shaun Tom Wright, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-03-11.

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