Provider Demographics
NPI:1528472081
Name:SCOTT HASHIMOTO, DDS, INC.
Entity type:Organization
Organization Name:SCOTT HASHIMOTO, DDS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRES/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:MASASHI
Authorized Official - Last Name:HASHIMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:520-797-7010
Mailing Address - Street 1:38080 MARTHA AVE, SUITE A
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-3809
Mailing Address - Country:US
Mailing Address - Phone:500-797-7010
Mailing Address - Fax:510-494-9404
Practice Address - Street 1:38080 MARTHA AVE
Practice Address - Street 2:SUITE A
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-3809
Practice Address - Country:US
Practice Address - Phone:510-797-7010
Practice Address - Fax:510-494-9404
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCOTT HASHIMOTO, DDS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA366611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty