Mark K. Koizumi, D.D.S.
General Practice Dentistry · Hilo, HI
Practice location
275 Ponahawai StSte.103
Hilo, HI 96720-3074
- Phone
- (808) 935-1149
NPI record
- NPI
- 1366797425
- Entity type
- Individual (Type 1)
- Enumeration date
- July 16, 2012
- Last updated
- July 16, 2012
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
DT-1380 | HI |
About Dr. Koizumi
Mark K. Koizumi, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 275 Ponahawai St, Ste.103, Hilo, HI 96720-3074. The NPI number 1366797425 was assigned on July 16, 2012 and the record was last updated on July 16, 2012.
Dr. Koizumi lists a license in the registry: #DT-1380 (HI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark K. Koizumi, D.D.S.?
The NPI number is 1366797425.
What is the phone number of Dr. Koizumi?
The phone number listed for the practice location is (808) 935-1149.
Where is Dr. Koizumi located?
275 Ponahawai St, Ste.103, Hilo, HI 96720-3074.
What is the taxonomy code for Dr. Koizumi?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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