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Contact Information

MICHAEL E CLARKE, DDS MS
24 N CHURCH ST
#206
WAILUKU, HI96795
 Phone: 808-242-0077
 Fax: 808-243-8007
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL E CLARKE · (Male)

NPI # 1316908296
Status Active
Credentials DDS MS
Entity Individual
Enumeration date 03/30/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • HI License # DT1439
  • HI Medicaid 52622001
  • Other B059978 HMSA
  • HI Other 1439 HDS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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