Individual provider · Type 1 NPI
Tracy H. Takenaka, DDS
Pediatric Dentistry · Dupont, WA
NPI number
1124005525
Active
Practice location
1200 Station Dr Ste 180
Dupont, WA 98327-9804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 051468-1 (NY) |
| Pediatric Dentistry Primary | 1223P0221X | DE60023910 (WA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
About NPI 1124005525
Tracy H. Takenaka, DDS's National Provider Identifier is 1124005525, issued on Dec 27, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Dupont, WA. The record was last updated on Aug 11, 2011.