Jefferey L Fiame
Individual provider Active NPI Dental Hygienist · Tripler AMC, HI
NPI 1043661895 · NPPES record last updated Jun 23, 2016
Key facts
- NPI
- 1043661895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 10939 (TX)
- Practice address
- 1 Jarrett White Road, MCDS-NH
US Army Dental Activity Hawaii
Tripler AMC, HI 96859-5000 - Phone
- (808) 438-4131
- NPI assigned
- Jun 23, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10939 | TX | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 10939 | TX | Yes |
Addresses
Primary practice location
1 Jarrett White Road, MCDS-NH
US Army Dental Activity Hawaii
Tripler AMC, HI 96859-5000
Mailing address
US Army Dental Activity Hawaii
1 Jarrett White Road, MCDS-NH
Tripler AMC, HI 96859-5000
Phone (808) 438-4131
Other providers in Tripler AMC, HI
- Kathalina Renee Fabian-Fontenot
- Angela Fellows
- Patrick Ryan Ferguson
- Jade C Ferreira
- James Patrick Ferstel
- Leslie Figueira
- Logan D Fitzpatrick
- Lori Heather Fogle
- Reyna C Fortune
- Courtney Collins Fox
All providers in Tripler AMC, HI · Dental Hygienist in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2016. 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.