MICHAEL E CLARKE DDSMS INC (NPI# 1073644068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073644068 |
| Entity Type | Organization |
| Organization Name | MICHAEL E CLARKE DDSMS INC |
| Other Organization Name | MICHAEL E. CLARKE DDSMS |
| Practice Address |
24 N Church St Suite 206 Wailuku HI 96793-1680 |
| Practice Telephone | 8082420077 |
| Practice Fax Number | 8082438007 |
| Mailing Telephone | 8082420077 |
| Mailing Fax Number | 8082438007 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2009-03-16 |
| Authorized Official Name | DR. MICHAEL ELLSWORTH CLARKE (OWNER) |
| Authorized Official Telephone | 8082420077 |
| Authorized Official Credential | D.D.S.,M. S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
========= | HI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HAWAII DENTAL SERVICE | 1439 | 01 |
| HI | 526220-01 | 05 | |
| HI | HAWAII MEDICAL SERVICE AS | 00C0059976 | 01 |
| Other Name | Type Code |
|---|---|
| Michael E. Clarke DDSMS | Doing Business As Name - Organization |
| Street Address |
24 N CHURCH ST SUITE 206 |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-1680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316908296 | Michael Ellsworth Clarke | Oral & Maxillofacial Surgery | 24 N Church St, #206, Wailuku, HI 96795 | 2006-03-30 |
| 1801110119 | Sonya Hansen | Internal Medicine | 24 N Church St, Suite 403, Wailuku, HI 96793-1680 | 2010-03-16 |
| 1669637807 | Jessica Kiersten Mattson | Physician Assistant | 24 N Church St, 403, Wailuku, HI 96793-1680 | 2008-07-28 |
| 1649463639 | Hawaii Endocrine Associates LLC | Internal Medicine | 24 N Church St, Suite 403, Wailuku, HI 96793-1680 | 2007-08-22 |
| 1487705695 | Michael Lynn Ellis | Dentist | 24 N Church St, Suite 206, Wailuku, HI 96793-1680 | 2007-01-15 |
| 1720173214 | Till Peter Hansen | Internal Medicine | 24 N Church St, Suite 403, Wailuku, HI 96793-1680 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437235710 | Richard Rasmussen | Dentist | 1063 Lower Main St Ste C221, Wailuku, HI 96793-6006 | 2006-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831280072 | Lyle Craig Yanagihara | Dentist | 1441 Kapiolani Blvd, Suite #1111, Honolulu, HI 96814-4402 | 2006-09-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.