Duane K Yamashiro in Salt Lake City - Pediatric Dentistry
Duane K Yamashiro - NPI 1629275151
Duane K Yamashiro is a Pediatric Dentistry in Salt Lake City, Utah. Duane K Yamashiro practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Duane K Yamashiro is 1629275151. The last update date is 2021-12-20.
Duane K Yamashiro's current location address is 100 Mario Capecchi Dr, Salt Lake City, Utah. You can contact this provider via phone number 8016623930 and fax number 8016623933. The mailing address for Duane K Yamashiro is 100 Mario Capecchi Dr, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Duane K Yamashiro |
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Address | 100 Mario Capecchi Dr, Salt Lake City, Utah |
Phone Number | 8016623930 |
Fax Number | 8016623933 |
Sole Proprietor | Y |
Credentials | DDS,MS |
NPI Number Detail
NPI Number | 1629275151 |
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Provider Enumeration Date | 2007-06-28 |
Last Updated Date | 2021-12-20 |
Provider Mailing Address Detail
Address | 100 Mario Capecchi Dr |
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City | Salt Lake City |
State | Utah (UT) |
Post Code | 841131103 |
Phone Number | 8016623930 |
Fax Number | 8016623933 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | 141853 |
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 |
---|---|---|---|
112651200 | WY | -- | |
805165800 | ID | -- |
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What is the Duane K Yamashiro's unique identification number?
The Duane K Yamashiro has been assigned the NPI (National Provider Identifier) Number 1629275151 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Duane K Yamashiro?
The Duane K Yamashiro is situated at 100 Mario Capecchi Dr, in the city of Salt Lake City, state of UT, with the zip code 841131103.
What is Duane K Yamashiro's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Duane K Yamashiro is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629275151 to Duane K Yamashiro?
The Centers for Medicare & Medicaid Services originally issued the 1629275151 to Duane K Yamashiro on 2007-06-28.
When was the information regarding Duane K Yamashiro most recently updated?
The details pertaining to the Duane K Yamashiro, including its address, specialty, and other relevant information, were last refreshed on 2021-12-20.