| Ellsworth H Takata Jr, DDS | |
|
445 Waianuenue Ave, Hilo, HI 96720-2535 | |
| (808) 935-3351 | |
| Not Available |
| Full Name | Ellsworth H Takata Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 445 Waianuenue Ave, Hilo, Hawaii |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306996939 | NPI | - | NPPES |
| 52614701 | Medicaid | HI | |
| 6008 | Other | HI | HAWAII DENTAL SERVICE |
| A8706-2 | Other | HI | HMSA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 751 (Hawaii) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ellsworth H Takata Jr, DDS 445 Waianuenue Ave, Hilo, HI 96720-2535 Ph: () - | Ellsworth H Takata Jr, DDS 445 Waianuenue Ave, Hilo, HI 96720-2535 Ph: (808) 935-3351 |
Paul H Byun, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 445 Waianuenue Ave, Hilo, HI 96720 Phone: 808-935-3351 | |
Dr. Jill O Uehara, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: C/o Island Ohana Dental, 101 Aupuni St, Ph 1014-c, Hilo, HI 96720 Phone: 808-935-4800 Fax: 808-935-4870 | |
Dr. Nestor M Santiago, DDS Dentist Medicare: Medicare Enrolled Practice Location: C/o Island Ohana Dental, 101 Aupuni St, Ph 1014-c, Hilo, HI 96720 Phone: 808-935-4800 Fax: 808-935-4870 | |
Dr. Wallace F. Chong Iii, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 74 Ponahawai St, Hilo, HI 96720 Phone: 808-935-5651 Fax: 808-935-5551 | |
Dr. Patsy Kate Fujimoto, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 224 Haili St, Hilo, HI 96720 Phone: 808-935-3724 | |
Rachel Noelani Jahraus, Dentist Medicare: Not Enrolled in Medicare Practice Location: 280 Ponahawai St Ste 201, Hilo, HI 96720 Phone: 808-935-5488 | |
Dr. Kyle Siu Quon Chock, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 212 Ululani St, Hilo, HI 96720 Phone: 808-961-2878 Fax: 808-933-1651 |