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Contact Information

TRACE R BAXTER, DMD
33 LONO AVE SUITE 370
KAHULUI, HI96732
 Phone: 808-871-6337
 Fax: 808-871-8073
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for TRACE R BAXTER · (Male)

NPI Number 1265729859
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 07/01/2011
Last updated 06/10/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • HI License # DT2492
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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