DR. MARK COURTNEY CHUN DMD NPI 1609832435

NPI Information

NPI: 1609832435
Provider Name: DR. MARK COURTNEY CHUN, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

CLIA Number: 12D0693619

Address:
444 ULUNIU ST
KAILUA, HI
ZIP 96734
Phone: (808) 261-0813
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DR. Mark Courtney Chun, DMD is a general practice dentist in Kailua, HI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Mark Courtney Chun, DMD NPI is 1609832435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

444 ULUNIU ST
KAILUA, HI
ZIP 96734-517
Phone: (808) 261-0813
Fax: (808) 261-6009

The CLIA number assigned to this NPI record is 12D0693619 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DT-1217	HAWAII	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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