location
search-icon
person
Ellsworth H Takata JR., DDS
Pediatric Dentist in Hilo, Hawaii
NPI 1306996939

Ellsworth H Takata JR. is a Pediatric Dentist based in Hilo, HI and is specialized in Pediatric Dentistry. Ellsworth H Takata JR. practices in Hilo, HI and has the professional credentials of DDS. The NPI Number for Ellsworth H Takata JR. is 1306996939 and holds a License No. 751 (Hawaii).

The current practice location address for Ellsworth H Takata JR. is 445 Waianuenue Ave, Hilo, HI and can be reached out via phone at 808-935-3351.

Location: 445 Waianuenue Ave, Hilo, HI, 96720-2535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306996939
Provider Name
Ellsworth H Takata JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
445 Waianuenue Ave, Hilo, HI, 96720-2535
Phone Number
808-935-3351
Fax Number
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
52614701 05 HI
6008 01 HI HAWAII DENTAL SERVICE
A8706-2 01 HI HMSA
institution
Provider Business Practice Location Address Details
Address
445 Waianuenue Ave
City
Hilo
State
Hawaii
Zip
96720-2535
Phone Number
808-935-3351
Fax Number
person
Provider Business Mailing Address Details
Address
445 Waianuenue Ave
City
Hilo
State
Hawaii
Zip
96720-2535
Phone Number
808-935-3351
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
751 (Hawaii)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.