Provider Demographics
NPI:1487756599
Name:HASHIMOTO, SCOTT MASASHI (DDS)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:MASASHI
Last Name:HASHIMOTO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38080 MARTHA AVE
Mailing Address - Street 2:STE A
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-3809
Mailing Address - Country:US
Mailing Address - Phone:510-797-7010
Mailing Address - Fax:510-494-9454
Practice Address - Street 1:38080 MARTHA AVE
Practice Address - Street 2:STE 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:510-494-9454
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36661122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB36661OtherMEDICAL