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NPI Code Detail

MEDICARE: THEODORE M FUJIOKA, DMD, PS

MEDICARE: THEODORE M FUJIOKA, DMD, PS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry3804WA

General Provider Information

NPI Number : 1255346649
Entity Type Code : Organization
Provider Name (Legal Business Name) : THEODORE M FUJIOKA, DMD, PS
Provider Business Mailing Address
First Line : 215 NW 78TH ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98665-7972
Country : US
Telephone Number : 360-696-4439
Fax Number : 360-696-4455
Provider Business Practice Location Address
First Line : 215 NW 78TH ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98665-7972
Country : US
Telephone Number : 360-696-4439
Fax Number : 360-696-4455
Authorized Official
Title or Position : PRESIDENT
Name : DR. THEODORE MASARU FUJIOKA
Credential : DMD
Telephone Number : 360-696-4439
Provider Enumeration Date : 07/31/2006
Last Update Date : 08/22/2020

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1144414749 — DR. AIMEE M FUJIOKA D.M.D.
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1356610257 — AIMEE M FUJIOKA DMD PS
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1548759913 — FUJIOKA CENTER FOR DENTAL SLEEP MEDICINE PLLC
Practice Location Address:
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Practice Fax: 360-696-4455

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