DR. RAQUEL CECILIA BRENTSON (NPI# 1760891717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760891717 |
| Entity Type | Individual |
| Full Name | DR. RAQUEL CECILIA BRENTSON |
| Credential | DDS |
| Practice Address |
1 Jarrett White Rd Bldg 320 Krukowski St Tripler Amc HI 96859-5001 |
| Practice Telephone | 8084331021 |
| Practice Fax Number | 8084333928 |
| Mailing Telephone | 8084331021 |
| Mailing Fax Number | 8084333928 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2015-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN20820 | FL | Dental Providers |
| Street Address |
1 JARRETT WHITE RD BLDG 320 KRUKOWSKI ST |
| City | TRIPLER AMC |
| State | HI |
| Zip Code | 96859-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515352 | Erin M Kang | Military Health Care Provider | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2020-10-09 |
| 1477199149 | Thomas Petersen | Physical Therapist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-11-18 |
| 1285277962 | Emily Floyd Simpson | Nurse Practitioner | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-10-24 |
| 1659931731 | Melissa Nycole Work | Audiologist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-06-19 |
| 1366000887 | Andrea Moon | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-05-30 |
| 1316500242 | Kaitlin Dresser | Dietitian, Registered | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2019-04-16 |
| 1366925414 | Quoc Tuan Minh Luong | Licensed Vocational Nurse | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-09-13 |
| 1487131249 | Alexander Junho Song | Dentist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-07-25 |
| 1922591304 | Hannah Russin | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-06-11 |
| 1184116592 | Adam Kisling | Internal Medicine | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-05-31 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366926792 | John Keith Sasine | Dentist | Us Army Dental Health Activity Hawaii, 1 Jarrett White Road, Mcds-nh, Tripler Amc, HI 96859-5000 | 2018-09-21 |
| 1316477524 | Ryan Park | Dentist | Jared White Rd, Attn: Credentials, Tripler Amc, HI 96859-5000 | 2017-06-20 |
| 1386929776 | Jee Young Kim | Dentist | Bldg 320 Krukowski St, Usa Dentac, Tripler Amc, HI 96859-5000 | 2011-10-17 |
| 1104131572 | Stephen Benjamin Peterman | Dentist | 1 Jarrett White Road Bldg 320, Krukowski St, Usa Dentac, Tripler Amc, HI 96859-5000 | 2010-08-10 |
| 1437380177 | Katie A Egbert | Dentist | 1 Jarrett White Road Bldg 320, Krukowski St., Us Army Dental Activity Hi, Tripler Amc, HI 96859-5000 | 2009-07-29 |
| 1649207622 | John Franklin Underwood | Dentist | 1 Jarrett White Rd. Bldg. 320, Tripler Amc, HI 96859-5000 | 2006-06-27 |
| 1487131249 | Alexander Junho Song | Dentist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2018-07-25 |
| 1477006047 | Christian D Petersen | Dentist | 1 Jarrett White Rd, Bldg 320, Tripler Amc, HI 96859-5001 | 2016-07-29 |
| 1306299037 | Corey Paul Paulino | Dentist | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2016-07-18 |
| 1003282690 | Roderick Davies | Dentist | 1 Jarrett White Rd Bldg 320, Us Army Dental Activity, Tripler Amc, HI 96859-5001 | 2015-08-18 |
| Find all providers in TRIPLER AMC | ||||
| City | TRIPLER AMC |
| Zip Code | 96859 |
Please comment or provide details below to improve the information on DR. RAQUEL CECILIA BRENTSON.
| 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.