Provider Demographics
NPI:1003971177
Name:TAMURA, DAVID AKIRA (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:AKIRA
Last Name:TAMURA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2153 N KING ST #314
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-4559
Mailing Address - Country:US
Mailing Address - Phone:808-847-3702
Mailing Address - Fax:
Practice Address - Street 1:2153 N KING ST #314
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4559
Practice Address - Country:US
Practice Address - Phone:808-847-3702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT1037122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI103701OtherHDS
HIU6804501Medicaid
HIZ88527OtherHMSA