Wayne Shizumi Atebara
Dentist Oral & Maxillofacial Surgeon
275 Ponahawai Street Suite 101
Hilo
, Hawaii 96720
Wayne Shizumi Atebara
Dentist Oral & Maxillofacial Surgeon
275 Ponahawai Street Suite 101
Hilo
, Hawaii 96720
(808) 934-8808
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About
Features
Specialties
- Dentist
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Wayne Shizumi Atebara
- 275 Ponahawai Street Suite 101
- Hilo, HI
- Zip : 96720
- Phone : (808) 934-8808
Second Address
- Wayne Shizumi Atebara
- 275 Ponahawai Street Suite 101
- Hilo, HI
- Zip : 96720
- Phone : (808) 934-8808
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | DT-1530 | HI |
| N | 204E00000X | Oral & Maxillofacial Surgeon | MD-9628 | HI |
National Provider Identifier
| NPI | 1174772248 |
|---|---|
| Provider Name | Wayne Shizumi Atebara |
| First Address | Hilo, HI 96720 |
| Second Address | Hilo, HI 96720 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2008 |
| Last Update Date | 15/09/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.