Michael Ellsworth Clarke in Wailuku - Oral & Maxillofacial Surgery
Michael Ellsworth Clarke - NPI 1316908296
Michael Ellsworth Clarke is a Oral & Maxillofacial Surgery in Wailuku, Hawaii. Michael Ellsworth Clarke practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Michael Ellsworth Clarke is 1316908296. The last update date is 2007-07-08.
Michael Ellsworth Clarke's current location address is 24 N Church St, Wailuku, Hawaii. You can contact this provider via phone number 8082420077 and fax number 8082438007. The mailing address for Michael Ellsworth Clarke is 24 N Church St, Wailuku, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Ellsworth Clarke |
|---|---|
| Address | 24 N Church St, Wailuku, Hawaii |
| Phone Number | 8082420077 |
| Fax Number | 8082438007 |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1316908296 |
|---|---|
| Provider Enumeration Date | 2006-03-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 24 N Church St |
|---|---|
| City | Wailuku |
| State | Hawaii (HI) |
| Post Code | 96795 |
| Phone Number | 8082420077 |
| Fax Number | 8082438007 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | DT1439 |
|
Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1439 | HI | HDS | |
| 52622001 | HI | -- | |
| B059978 | HMSA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Michael Ellsworth Clarke by the Centers for Medicare & Medicaid Services?
The Michael Ellsworth Clarke has been assigned the NPI (National Provider Identifier) 1316908296 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Michael Ellsworth Clarke?
The Michael Ellsworth Clarke is situated at 24 N Church St, in the city of Wailuku, state of HI, with the zip code 96795.
What is the area of specialization for Michael Ellsworth Clarke, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael Ellsworth Clarke is Oral & Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 204E00000X.
On what date did the Michael Ellsworth Clarke receive its 1316908296 assignment from the Centers for Medicare & Medicaid Services?
The Michael Ellsworth Clarke was assigned its 1316908296 by the Centers for Medicare & Medicaid Services on 2006-03-30.
When was the Michael Ellsworth Clarke's information last updated?
The Michael Ellsworth Clarke's information was last updated on 2007-07-08.