Provider Demographics
NPI:1497982706
Name:CLYDE Y. UCHIDA, D.D.S., M.S., INC.
Entity Type:Organization
Organization Name:CLYDE Y. UCHIDA, D.D.S., M.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLYDE
Authorized Official - Middle Name:YOSHIO
Authorized Official - Last Name:UCHIDA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:808-739-0878
Mailing Address - Street 1:4211 WAIALAE AVE STE 3070
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5343
Mailing Address - Country:US
Mailing Address - Phone:808-739-0878
Mailing Address - Fax:
Practice Address - Street 1:4211 WAIALAE AVE STE 3070
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5343
Practice Address - Country:US
Practice Address - Phone:808-739-0878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT8511223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty