WEST MAUI DENTAL (NPI# 1487983466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487983466 |
| Entity Type | Organization |
| Organization Name | WEST MAUI DENTAL |
| Practice Address |
845 Wainee St Unit 206 Lahaina HI 96761-2321 |
| Practice Telephone | 8086614700 |
| Practice Fax Number | 8086619700 |
| Mailing Telephone | 8086614700 |
| Mailing Fax Number | 8086619700 |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |
| Authorized Official Name | DR. JOCELYN HIDALGO REDONA (OWNER) |
| Authorized Official Telephone | 8086614700 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1849 | HI | Dental Providers |
| Street Address |
845 WAINEE ST UNIT 206 |
| City | LAHAINA |
| State | HI |
| Zip Code | 96761-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134246564 | Erik Leslie Nelson | Optometrist | 845 Wainee St, Suite 202, Lahaina, HI 96761-2321 | 2007-03-22 |
| 1689037079 | Andrea Laramie | Massage Therapist | 845 Wainee St, Suite 211, Lahaina, HI 96761-2321 | 2016-04-01 |
| 1013338516 | Mina Moghadam | Specialist | 845 Wainee St, Suite 211, Lahaina, HI 96761-2321 | 2013-12-31 |
| 1013206564 | Andrea M Christian | Specialist | 845 Wainee St, Suite 211, Lahaina, HI 96761-2321 | 2011-04-05 |
| 1053643973 | Matthew C Dodson | Dentist | 845 Wainee St, Suite 201, Lahaina, HI 96761-2321 | 2010-02-03 |
| 1790900348 | John D Dodson Dds Inc | Dentist | 845 Wainee St, Suite 201, Lahaina, HI 96761 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366901472 | Bridgette Grant Lcsw LLC | Clinic/Center | 4435 Lower Honoapiillani Rd, 142, Lahaina, HI 96761 | 2019-03-18 |
| 1366821803 | Stephen Barba | Student in an Organized Health Care Education/Training Program | 154 Papalaua Street, Suite #200, Lahaina, HI 96761 | 2015-05-28 |
| 1538546866 | Christine Marie Mora | Specialist | 12 Alamoana St #a, Lahaina, HI 96761 | 2015-05-06 |
| 1982009502 | Chelsea J North | Massage Therapist | 181 Lahainaluna Road, Suite D, Lahaina, HI 96761 | 2014-10-24 |
| 1427495860 | Chandy-ann Leinaala Lopes | Naturopath | 180 Dickenson St Ste 218, Lahaina, HI 96761 | 2013-05-24 |
| 1245554138 | David Wing Lee | Podiatrist | 40 Kupuohi St Ste 204, Lahaina, HI 96761 | 2010-03-21 |
| 1871736298 | Joal Breece Dennis Sr. | Marriage & Family Therapist | 980 Front St., Lahaina, HI 96761 | 2009-04-15 |
| 1053564526 | Community Clinic of Maui Inc | Clinic/Center | 15 Ipu Aumakua Ln, Lahaina, HI 96761 | 2008-10-28 |
| 1104009091 | State of Hawaii Department of Health | Community/Behavioral Health | 1830 Hooapiilani Highway, Lahaina, HI 96761 | 2007-12-13 |
| 1659412021 | Jacoby Inc. | Acupuncturist | 930 Wainee Street, Suite 10, Lahaina, HI 96761 | 2007-02-09 |
| Find all providers in zip 96761 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184259392 | Lahaina Smiles Dental Group LLC | Dentist | 154 Papalaua St # 200, Lahaina, HI 96761-1616 | 2020-03-09 |
| 1427602663 | Lahaina Dental Group, LLC | Dentist | 845 Wainee St Ste 206, Lahaina, HI 96761-1688 | 2019-07-26 |
| 1528514601 | Shauna L Pier LLC | Dentist | 840 Wainee St Ste 505, Lahaina, HI 96761-1654 | 2016-08-29 |
| 1497850242 | Robert Stanley Brath | Dentist | 134 Luakini St, Lahaina, HI 96761-1258 | 2006-09-14 |
| 1881973204 | Kahana Family Dental Center, Inc. | Dentist | 10 Hoohui Rd, Suite 208, Lahaina, HI 96761-9256 | 2011-08-16 |
| 1104130244 | Adrianne Christine Smith | Dentist | 10 Hoohui Rd, Suite 208, Lahaina, HI 96761-9256 | 2010-07-30 |
| 1053643973 | Matthew C Dodson | Dentist | 845 Wainee St, Suite 201, Lahaina, HI 96761-2321 | 2010-02-03 |
| 1285967075 | Robert S Brath Dds Inc. | Dentist | 134 Luakini St, Lahaina, HI 96761-1258 | 2009-09-10 |
| 1316192750 | Dwight C Mounts | Dentist | 180 Dickenson St, Suite 214, Lahaina, HI 96761-1215 | 2008-11-26 |
| 1790900348 | John D Dodson Dds Inc | Dentist | 845 Wainee St, Suite 201, Lahaina, HI 96761 | 2007-04-16 |
| Find all providers in LAHAINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.