Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL ELLSWORTH CLARKE, DDS MS
ActiveDR. MICHAEL ELLSWORTH CLARKE, DDS MS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in WAILUKU, Hawaii. NPI 1316908296 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · WAILUKU, HI
Registration Details
- NPI Number
- 1316908296
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2006 (20.333402058267 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DT1439 (HI)
Practice Information
- Address
-
24 N CHURCH ST#206WAILUKU, HI, 96795Browse HI providers · Browse ZIP 96795
- Phone
- 8082420077
- Fax
- 8082438007
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.