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LEEWARD PEDODONTIX LLC NPI 1912272063


NPI Information

NPI: 1912272063
Provider Name: LEEWARD PEDODONTIX, LLC

Doing Business As: JAMES M. HORI DDS, DENTISTRY FOR CHILDREN

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
94-229 WAIPAHU DEPOT ST
SUITE #501
WAIPAHU, HI
ZIP 96797
Phone: (808) 671-0055
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LEEWARD PEDODONTIX, LLC is a pediatric dentistry dentist in Waipahu, HI. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. LEEWARD PEDODONTIX, LLC NPI is 1912272063. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As James M. Hori Dds, Dentistry For Children.

The provider's business location address is:

94-229 WAIPAHU DEPOT ST
SUITE #501
WAIPAHU, HI
ZIP 96797-031
Phone: (808) 671-0055
Fax: (808) 671-3443

The provider's authorized official is Cherylynn Juan .
The authorized official title is Assistant Financial Coordinator and has the following contact phone number (808) 671-0055.

The enumeration date for this NPI number is 3/21/2012 and was last updated on 3/21/2012.


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
11223P0221XDentistPediatric Dentistry1580HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
152771502MEDICAIDHAWAII

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: 4/28/2024

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