Provider Demographics
NPI:1558481523
Name:SHIMOKAWA, HOWARD T (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:T
Last Name:SHIMOKAWA
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 1:1280 S KIHEI RD STE 209
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-8240
Mailing Address - Country:US
Mailing Address - Phone:808-879-1944
Mailing Address - Fax:808-874-6187
Practice Address - Street 1:1280 S KIHEI RD
Practice Address - Street 2:SUITE 209
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-8240
Practice Address - Country:US
Practice Address - Phone:808-879-1944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI9591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice