NPI 1316908296

Michael Ellsworth Clarke, DDSMS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Wailuku, HI

Practice location

Address: 24 N Church St #206, Wailuku, HI 96795
Phone: (808) 242-0077
Fax: (808) 243-8007

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DT1439 (HI)

Other Oral & Maxillofacial Surgery providers in Hawaii →

Registry record

NPI: 1316908296
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Mar 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.