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HAWAII DENTAL GROUP INC. NPI 1689982407


NPI Information

NPI: 1689982407
Provider Name: HAWAII DENTAL GROUP, INC.

Doing Business As: HAWAII FAMILY DENTAL CENTERS-KAILUA-KONA

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
75-1028 HENRY ST
SUITE 102
KAILUA KONA, HI
ZIP 96740
Phone: (808) 329-0025
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HAWAII DENTAL GROUP, INC. is a general practice dentist in Kailua Kona, 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. HAWAII DENTAL GROUP, INC. NPI is 1689982407. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hawaii Family Dental Centers-kailua-kona.

The provider's business location address is:

75-1028 HENRY ST
SUITE 102
KAILUA KONA, HI
ZIP 96740-693
Phone: (808) 329-0025
Fax: (808) 329-4164

The provider's authorized official is Gary Kondo .
The authorized official title is Chief Executive Officer and has the following contact phone number (808) 523-3103.

The enumeration date for this NPI number is 9/14/2010 and was last updated on 9/14/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsNo
21223P0221XDentistPediatric DentistryNo
31223P0300XDentistPeriodonticsNo
41223P0700XDentistProsthodonticsNo
51223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
6124Q00000XDental HygienistNo
7126800000XDental AssistantNo
81223G0001XDentistGeneral PracticeYes

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

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