MEDICARE: DR. DARREN Y NAKAMATSU D.M.D.

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
1	1223G0001X	General Practice Dentistry	DT1604	HI

General Provider Information

NPI Number	:	1548305212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARREN Y NAKAMATSU D.M.D.

Provider Business Mailing Address
First Line	:	1 AUHILI PL
Second Line	:
City	:	WAHIAWA
State	:	HI
Zip	:	96786-1505
Country	:	US
Telephone Number	:	808-621-6626
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 KAMEHAMEHA HWY
Second Line	:	STE 235
City	:	PEARL CITY
State	:	HI
Zip	:	96782-2881
Country	:	US
Telephone Number	:	808-456-5953
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	07/08/2007

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