KENTARO MATSUMOTO


Address: 1010 S King St Ste 206, Honolulu, HI 96814-1703
Phone: 8089554300

KENTARO MATSUMOTO (NPI# 1780050112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780050112
Entity Type Individual
Full Name KENTARO MATSUMOTO
Credential D.D.S.
Practice Address 1010 S King St Ste 206
Honolulu
HI 96814-1703
Mailing Address 1010 S King St
#206
Honolulu
HI 96814-4720
Practice Telephone 8089554300
Enumeration Date 2015-08-20
Last Update Date 2017-07-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DT 2617 HI Dental Providers

Office Location

Street Address 1010 S KING ST STE 206
City HONOLULU
State HI
Zip Code 96814-1703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366819658 Auradent Inc. Dental Laboratory 1010 S King St Ste 206, Honolulu, HI 96814-1703 2015-08-21

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1992283980 Sonia Q. Cosio, D.d.s Dentist 1441 Kapiolani Blvd #518, Honolulu, HI 96814 2018-08-01
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659862977 Leilani C. Curameng Dmd LLC Dentist 677 Ala Moana Blvd Ste 304, Honolulu, HI 96813-5415 2018-05-22
1164925764 Christopher Thuc Wu Jr. Dentist Queen's Medical Center- Dental Clinic, 1301 Punchbowl St, Honolulu, HI 96813 2018-03-10
1821516097 Bryson Chang Dentist 3270 Waialae Ave, Honolulu, HI 96816-5836 2017-09-07
1114442217 Yunah Park Dentist 500 Ala Moana Boulevard, Seven Waterfront Plaza, #220, Honolulu, HI 96813 2017-08-09
1578934857 Stuart Ueda, D.m.d. Dentist 738 Kaheka St Ste 205, Honolulu, HI 96814-3726 2015-10-13
1386050508 Century Dental, LLC Dentist 1188 Bishop St Ste 3508, Honolulu, HI 96813-3314 2014-07-08
1649610403 Elsa F Mueller Dentist 1737 Nalulu Pl, Honolulu, HI 96821-1338 2013-06-26
1053757807 Salt Lake Family Dentistry Dentist 905 C Makahiki Way, Honolulu, HI 96826 2013-05-21
1790121739 Salt Lake Family Dentistry Dentist 848 Ala Lilikoi St Ste 112, Honolulu, HI 96818-2109 2013-05-16
1396097259 Tina N. Tom, Dds A Professional Corporation Dentist 1600 Kapiolani Blvd Ste 807, Honolulu, HI 96814-3802 2012-10-02
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Competitor

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City HONOLULU
Zip Code 96814

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Dataset Information

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.

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