Harrison Masao Ishida, D.D.S.
Individual provider Active NPI General Practice Dentistry · Honolulu, HI
NPI 1043228166 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043228166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DT1497 (HI)
- Practice address
- 3174 Waialae Ave
Honolulu, HI 96816-1510 - Phone
- (808) 734-7777
- Fax
- (808) 734-1406
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT1497 | HI | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DT1497 | HI | Yes |
Addresses
Primary practice location
3174 Waialae Ave
Honolulu, HI 96816-1510
Mailing address
3174 Waialae Ave
Honolulu, HI 96816-1510
Phone (808) 734-7777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DT1497 | Other | HI | STATE LICENSE NUMBER |
Other providers in Honolulu, HI
- Tove V. Isaacson
- Casey Aubrey Isabelo
- Thomas Isadore
- Paul A Isenbarger
- Isg, Inc.
- Jay T. Ishida
- Jiro Jerry Ishida
- Michelle Malia Ishida
- Brian K Ishidera
- Derrick Keiji Ishihara
All providers in Honolulu, HI · General Practice Dentistry in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.