Provider Demographics
NPI:1356824437
Name:HASHIMOTO, TAIGA (DDS)
Entity Type:Individual
Prefix:DR
First Name:TAIGA
Middle Name:
Last Name:HASHIMOTO
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 1:412 WAILUPE CIR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-1527
Mailing Address - Country:US
Mailing Address - Phone:808-295-1334
Mailing Address - Fax:
Practice Address - Street 1:1888 KALAKAUA AVE STE C311
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1550
Practice Address - Country:US
Practice Address - Phone:808-295-1334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-13
Last Update Date:2018-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT2773122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist