| Mark Y. Shimao, Dds, Inc. | |
|
91-902 Fort Weaver Rd Suite 201 Ewa Beach HI 96706-2261 | |
| (808) 689-6900 | |
| (808) 689-8330 |
| Full Name | Mark Y. Shimao, Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 91-902 Fort Weaver Rd, Ewa Beach, Hawaii |
| Authorized Official Name and Position | Mark Yuji Shimao (DENTIST/OWNER) |
| Authorized Official Contact | 8086896900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Y. Shimao, Dds, Inc. 91-902 Fort Weaver Rd Suite 201 Ewa Beach HI 96706-2261 Ph: (808) 689-6900 | Mark Y. Shimao, Dds, Inc. 91-902 Fort Weaver Rd Suite 201 Ewa Beach HI 96706-2261 Ph: (808) 689-6900 |
| NPI Number | 1699009977 |
|---|---|
| Provider Enumeration Date | 09/19/2009 |
| Last Update Date | 09/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699009977 | NPI | - | NPPES |
| 069761 01 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1694 (Hawaii) | Primary |
Alex Matsumoto Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 91-902 Fort Weaver Rd Ste 208, Ewa Beach, HI 96706 Phone: 808-689-7964 | |
Hawaii Pediatric Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 91-3575 Kauluakoko St Unit 3004, Ewa Beach, HI 96706 Phone: 781-951-4055 | |
Lyle T. Tenjoma Dds, Msd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 91-902 Fort Weaver Rd Ste 208, Ewa Beach, HI 96706 Phone: 808-689-7964 | |
Jennifer H. Hirota, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 91-902 Fort Weaver Rd Ste 208, Ewa Beach, HI 96706 Phone: 808-689-7964 Fax: 808-689-0909 | |
Tokunaga Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 91-902 Fort Weaver Rd Ste 208, Ewa Beach, HI 96706 Phone: 808-689-7964 Fax: 808-689-0909 | |
Hawaii Family Dental Centers Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 91-1121 Keaunui Dr., Bldg M Space 6, Ewa Beach, HI 96706 Phone: 808-675-5562 Fax: 808-675-5563 | |
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