HAWAII DENTAL GROUP, INC. (NPI# 1609184423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609184423 |
| Entity Type | Organization |
| Organization Name | HAWAII DENTAL GROUP, INC. |
| Other Organization Name | HAWAII FAMILY DENTAL CENTERS-KAHULUI |
| Practice Address |
95 Lono Ave Suite 210 Kahului HI 96732-1610 |
| Mailing Address |
500 Ala Moana Blvd Suite 7-220 Honolulu HI 96813-4920 |
| Practice Telephone | 8088775328 |
| Practice Fax Number | 8088773496 |
| Mailing Telephone | 8085233103 |
| Mailing Fax Number | 8085233122 |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |
| Authorized Official Name | DR. GARY KONDO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8085233103 |
| Is Organization Subpart | Y |
| Parent Organization Name | HAWAII DENTAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| N | 126800000X | Dental Assistant | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Hawaii Family Dental Centers-Kahului | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275841025 | Hawaii Dental Group, Inc. | Dentist | 500 Ala Moana Blvd, Suite 7-300, Honolulu, HI 96813-4920 | 2010-09-15 |
| 1497063226 | Hawaii Dental Group, Inc. | Dentist | 400 Hualani St, Bldg. 9, Suite 192, Hilo, HI 96720-4378 | 2010-09-14 |
| 1780992503 | Hawaii Dental Group, Inc. | Dentist | 68-1845 Waikoloa Rd, Suite 205, Waikoloa, HI 96738-5584 | 2010-09-14 |
| 1699083410 | Hawaii Dental Group, Inc. | Dentist | 4473 Pahee St, Suite K, Lihue, HI 96766-2037 | 2010-09-14 |
| 1477861292 | Hawaii Dental Group, Inc. | Dentist | 95-720 Lanikuhana Ave, Suite 270, Mililani, HI 96789-2985 | 2010-09-14 |
| 1558679373 | Hawaii Dental Group, Inc. | Dentist | 46-056 Kamehameha Hwy, Suite 288, Kaneohe, HI 96744-3755 | 2010-09-14 |
| 1356659171 | Hawaii Dental Group, Inc. | Dentist | 1847 S Kihei Rd, Suite 101, Kihei, HI 96753-7939 | 2010-09-14 |
| 1295043016 | Hawaii Dental Group, Inc. | Dentist | 98-150 Kaonohi St, Suite C-201, Aiea, HI 96701-5047 | 2010-09-14 |
| 1689982407 | Hawaii Dental Group, Inc. | Dentist | 75-1028 Henry St, Suite 102, Kailua Kona, HI 96740-1693 | 2010-09-14 |
| 1205992922 | Hawaii Dental Group, Inc. | Dentist | 500 Ala Moana Blvd, Suite 7-220, Honolulu, HI 96813-4920 | 2006-12-28 |
| Street Address |
95 LONO AVE SUITE 210 |
| City | KAHULUI |
| State | HI |
| Zip Code | 96732-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598818742 | Franz Schuller | Dentist | 95 Lono Ave, Suite 210, Kahului, HI 96732-1610 | 2007-01-19 |
| 1285104364 | Wenjie Yang Callahan | Massage Therapist | 95 Lono Ave, Kahului, HI 96732-1610 | 2018-11-30 |
| 1245700426 | Marvin Douglas Sebourn | Massage Therapist | 95 Lono Ave, Kahului, HI 96732-1610 | 2018-11-29 |
| 1497273858 | Leo Caballero Tecson | Massage Therapist | 95 Lono Ave, Suite 203, Kahului, HI 96732 | 2017-09-06 |
| 1508300351 | Brad Mclaughlin | Chiropractor | 95 Lono Ave, Suite #105, Kahului, HI 96732-1610 | 2016-12-13 |
| 1518326552 | Pacific Spine & Rehab | Chiropractor | 95 Lono Ave, Suite 105, Kahului, HI 96732-1610 | 2016-02-18 |
| 1336434471 | Brady Manor | Massage Therapist | 95 Lono Ave, Kahului, HI 96732-1610 | 2011-06-16 |
| 1750698676 | James H. Hattaway, D.c. Inc | Chiropractor | 95 Lono Ave, Suite 203, Kahului, HI 96732-1610 | 2010-09-13 |
| 1982733978 | Gordon Edgar | Dentist | 95 Lono Ave, Suite 210, Kahului, HI 96732-1610 | 2007-03-05 |
| 1447305867 | Chester J. Twarowski | Optometrist | 95 Lono Ave, Suite 218, Kahului, HI 96732-1610 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749435 | Catherine Phan | Behavior Technician | 427 Ala Makani St, Suite 200, Kahului, HI 96732 | 2020-04-16 |
| 1427535665 | Miles H. Katahara, D.d.s., Inc. | Dentist | 140 Hoohana St. Suite 204, Kahului, HI 96732 | 2018-07-20 |
| 1013428291 | Maui Family Young Men's Christian Association | Health Educator | 250 Kanaloa Ave, Kahului, HI 96732 | 2017-10-16 |
| 1467998765 | Costco | Clinic/Center | 540 Haleakala Highway, Kahului, HI 96732 | 2017-01-10 |
| 1164884649 | Arc of Maui County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 450a Kanaloa Street, Kahului, HI 96732 | 2016-03-24 |
| 1487016846 | Arc of Maui County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 450 B Kanaloa Avenue, Kahului, HI 96732 | 2016-03-24 |
| 1396118311 | Allison Yoshimoto | Speech-Language Pathologist | 122 Anamuli Street, Kahului, HI 96732 | 2015-11-13 |
| 1609252295 | Nanc Ellen Fellerman (-yahr) | Speech-Language Pathologist | 161 S. Wakea Avenue, Imua Family Services, Kahului, HI 96732 | 2015-08-05 |
| 1134508716 | Bayada Home Care | Community/Behavioral Health | 427 Ala Makani Street, Suite 200, Kahului, HI 96732 | 2015-05-28 |
| 1467843656 | B.c.p., Inc. Dba/ Bayada Home Health Care | Home Health | 427 Ala Makani St., Suite 200, Kahului, HI 96732 | 2015-02-10 |
| Find all providers in zip 96732 | ||||
| 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 |
|---|---|---|---|---|
| 1689045379 | Aloha Family Dental LLC | Dentist | 33 Lono Ave Ste 370, Kahului, HI 96732-1636 | 2015-10-07 |
| 1356677967 | James Merret Dds Inc | Dentist | 140 Hoohana St Ste 301, Kahului, HI 96732-2467 | 2009-11-02 |
| 1477785244 | Uehara&uehara | Dentist | 415 Ala Makani St, Kahului, HI 96732-3507 | 2009-08-12 |
| 1528215605 | Bobee J Hyland | Dentist | 74 Lono Ave Ste 210, Kahului, HI 96732-1626 | 2008-08-20 |
| 1710010764 | Randall Hiroyuki Sasaki | Dentist | 33 W Kamehameha Ave, Kahului, HI 96732-2263 | 2007-03-13 |
| 1003822321 | Lance Diamond Ogata | Dentist | 444 Hana Hwy Ste A2, Kahului, HI 96732-2315 | 2006-07-31 |
| 1871190926 | Timothy R Adamchuk | Dentist | 275 W Kaahumanu Ave, Kahului, HI 96732-1629 | 2020-10-01 |
| 1821629312 | Stanley Dental LLC | Dentist | 74 Lono Ave Ste 210, Kahului, HI 96732-1626 | 2020-02-03 |
| 1346685955 | Kahului Dental | Dentist | 33 Lono Ave, Suite 370, Kahului, HI 96732-1633 | 2013-05-08 |
| 1649577537 | Daniel T. Mayeda Dds, Inc | Dentist | 74 Lono Ave Ste 210, Kahului, HI 96732-1626 | 2011-02-11 |
| Find all providers in KAHULUI | ||||
Please comment or provide details below to improve the information on HAWAII DENTAL GROUP, INC..
| 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.