Dr Hiroyasu Hataoka, DDS is a
Dentist - General Practice based in Downieville, California. Dr Hiroyasu Hataoka is licensed to practice in California (license number 034113) and his current practice location is
17 Front St., Downieville, California. He can be reached at his office (for appointments etc.) via phone at
(530) 289-3199.
NPI number for Dr Hiroyasu Hataoka is 1629234885 and his current mailing address is Po Box 286, Downieville, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629234885.
Healthcare Provider's Profile
| Full Name | Dr Hiroyasu Hataoka |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 17 Front St., Downieville, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629234885
- Provider Enumeration Date: 08/06/2008
- Last Update Date: 08/06/2008
Medical Identifiers
Medical identifiers for Dr Hiroyasu Hataoka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629234885 | NPI | - | NPPES |
| FHC03800F | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 034113 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Hiroyasu Hataoka is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Hiroyasu Hataoka, DDS
Po Box 286,
Downieville, CA 95936-0286
Ph: (530) 289-3199 | Dr Hiroyasu Hataoka, DDS
17 Front St.,
Downieville, CA 95936-0826
Ph: (530) 289-3199 |
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