Ellsworth H Takata Jr. is a Hilo, Hawaii based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Ellsworth H Takata Jr. is 751 for Pediatric Dentistry in Hawaii. His current practice location is 445 Waianuenue Ave, Hilo. Patients can reach him at 808-935-3351.
Ellsworth H Takata Jr. provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Ellsworth H Takata Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Ellsworth H Takata Jr.
Specialization:
Pediatric Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
445 Waianuenue Ave, Hilo, Hawaii, 96720-2535
Phone:
808-935-3351
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1306996939
NPI Enumeration Date:
12 Jan, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ellsworth H Takata Jr. are as mentioned below.
License Number
Specialization
State
Status
751
Pediatric Dentistry
Hawaii
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ellsworth H Takata Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
52614701
Medicaid
Hawaii
6008
Other
Hawaii
HAWAII DENTAL SERVICE
A8706-2
Other
Hawaii
HMSA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
445 Waianuenue Ave, Hilo, Hawaii
Zip:
96720-2535
Patients can reach Ellsworth H Takata Jr. at 445 Waianuenue Ave, Hilo, Hawaii or can call to book an appointment on 808-935-3351. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.