Basic Information
Provider Information
NPI: 1033528724
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JARMAN
FirstName: JOSEPH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DMD MS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: NAVAL HEALTH CLINIC HAWAII
Address2: 480 CENTRAL AVENUE
City: JBPHH
State: HI
PostalCode: 968604908
CountryCode: US
TelephoneNumber: 8084731880
FaxNumber:  
Practice Location
Address1: NAVAL HEALTH CLINIC HAWAII
Address2: 480 CENTRAL AVENUE
City: JBPHH
State: HI
PostalCode: 968604908
CountryCode: US
TelephoneNumber: 8084731880
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/06/2014
LastUpdateDate: 04/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/29/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1223P0700XD9639ORY Dental ProvidersDentistProsthodontics

No ID Information.


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