Healthcare Provider Details

I. General information

NPI: 1093963704
Provider Name (Legal Business Name): RENEE CHIE UCHIDA-HASHIZUME DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2008
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4211 WAIALAE AVENUE #3070
HONOLULU HI
96816-5319
US

IV. Provider business mailing address

4211 WAIALAE AVENUE #3070
HONOLULU HI
96816-5319
US

V. Phone/Fax

Practice location:
  • Phone: 808-739-0878
  • Fax:
Mailing address:
  • Phone: 808-739-0878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number6774
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDT2342
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: