Healthcare Provider Details

I. General information

NPI: 1689110389
Provider Name (Legal Business Name): BRITTNEY ANNE B ESHIMA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2017
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JARRETT WHITE RD US ARMY DENTAL ACTIVITY HAWAII
TRIPLER AMC HI
96859-5001
US

IV. Provider business mailing address

1 JARRETT WHITE RD US ARMY DENTAL ACTIVITY HAWAII
TRIPLER AMC HI
96859-5001
US

V. Phone/Fax

Practice location:
  • Phone: 808-438-4131
  • Fax:
Mailing address:
  • Phone: 808-438-4131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License NumberDH-1993
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number1993
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: