DR. KATIE A EGBERT


Address: 1 Jarrett White Road Bldg 320, Krukowski St., Us Army Dental Activity Hi, Tripler Amc, HI 96859-5000
Phone: 8084336959

DR. KATIE A EGBERT (NPI# 1437380177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437380177
Entity Type Individual
Full Name DR. KATIE A EGBERT
Credential DMD
Practice Address 1 Jarrett White Road Bldg 320, Krukowski St.
Us Army Dental Activity Hi
Tripler Amc
HI 96859-5000
Mailing Address 4021 W Rue De Lamour Ave
Phoenix
AZ 85029-1050
Practice Telephone 8084336959
Mailing Telephone 2147841655
Enumeration Date 2009-07-29
Last Update Date 2018-03-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 7821 AZ Dental Providers
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
7821 AZ Dental Providers

Office Location

Street Address 1 JARRETT WHITE ROAD BLDG 320, KRUKOWSKI ST.
US ARMY DENTAL ACTIVITY HI
City TRIPLER AMC
State HI
Zip Code 96859-5000

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770115792 The Janz Corporation Durable Medical Equipment & Medical Supplies Tripler Medical Center, C-103, Honolulu, HI 96859 2020-02-07
1467726927 Elton E Bacon Orthotist 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 2012-03-01
1063738813 Defense Finance & Actg Service Military Hospital 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 2010-04-19
1972737153 Kyong Su Min Orthopaedic Surgery 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 2009-05-04
1558503854 Mark Andrew Gerum Social Worker Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 2009-04-01
1578720926 Travis Jaya Mason Surgery Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 2008-05-21
1467513168 Joselyn Cabalo Funtanilla Ponce Registered Nurse 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 2006-12-13
1346280195 Harkirtin Kaur Mciver Pediatrics Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 2006-06-08
1043297740 Jacqueline Seger Registered Nurse Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 2005-12-23
1982694683 Peter Marlin Psychiatry & Neurology Tamc, 1 Jarriet White Road, Honolulu, HI 96859 2005-10-24
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447237672 Randall Neal Ball Dentist 1 Jarrett White Road, Attn: Mcds-nh Us Army Dental Activity Hawaii, Tripler Amc, HI 96859-5000 2005-12-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598304198 Malama Dental 4 Kids, LLC Dentist 275 Ponahawai St Ste 204, Hilo, HI 96720-3074 2019-12-30
1518457001 William Jeffrey Keeton Dentist 75-1028 Henry St Ste 102, Kailua Kona, HI 96740-1693 2018-05-10
1043744170 Smiles for Keiki Pediatric Dentistry, LLC Dentist 77-135 Kalaniuka St, Holualoa, HI 96725-9729 2017-04-15
1184179350 Patricia Sanchez Puche Dentist 3-3359 Kuhio Hwy, Lihue, HI 96766-1061 2016-08-17
1215481379 Dean T. Sueda, D.d.s., M.s. Inc Dentist 1020 Kakala St, 801, Kapolei, HI 96707-4546 2016-08-06
1396158556 Tian W He Dentist 850 Kamehameha Hwy #215, Pearl City, HI 96782 2014-06-05
1184046716 Keiki Dental Specialists Dentist 1302 Moanalualani Ct Apt D, Honolulu, HI 96819-1221 2014-01-16
1578999025 Ronald Hirata Dentist 75-5845 Alii Dr, Kailua Kona, HI 96740-1329 2013-09-16
1861734774 Thomas Matthew Griffith Dentist 2530 Kilauea Ave, Hilo, HI 96720-5613 2013-03-19
1902152713 Michelle S. Chung Dentist 4211 Waialae Ave Ste 405, Honolulu, HI 96816-5317 2012-07-30
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Competitor

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City TRIPLER AMC
Zip Code 96859

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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