Takata Dental Health Center, Inc.

LBN: Takata Dental Health Center, Inc.
Takata Dental Health Center, Inc. is an health care organization with primary practice located at 445 Waianuenue Ave , Hilo HI 96720-2535. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is the primary health care specialty. Takata Dental Health Center, Inc. can be contacted via phone (808) 935-3351, or through Takata, Ellsworth H via phone (808) 935-3351.

Contact Information

Primary practice address
445 Waianuenue Ave Hilo HI 96720-2535
Fax:
Website:
Authorized official contact:
Name: Takata, Ellsworth H Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2068 Hawaii
Dental Providers / General Practice 1223G0001X 991 Hawaii
Dental Providers / Pediatric Dentistry 1223P0221X 751 Hawaii
Dental Providers / Pediatric Dentistry 1223P0221X 2102 Hawaii

Profile Details

NPI number 1285785824
LBN Legal business name Takata Dental Health Center, Inc.
DBA Doing business as
Authorized official Takata, Ellsworth H Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285785824 NPPES
Hawaii MEDICAID 51866501

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