DR. BROOKE MAILE BURGESS UPERESA


Address: 3660 Waialae Ave, Suite 212, Honolulu, HI 96816-3257
Phone: 8087373525

DR. BROOKE MAILE BURGESS UPERESA (NPI# 1609200435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609200435
Entity Type Individual
Full Name DR. BROOKE MAILE BURGESS UPERESA
Credential D.D.S.
Practice Address 3660 Waialae Ave
Suite 212
Honolulu
HI 96816-3257
Practice Telephone 8087373525
Practice Fax Number 8087371964
Mailing Telephone 8087373525
Mailing Fax Number 8087371964
Enumeration Date 2013-08-28
Last Update Date 2013-08-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist DT2520 HI Dental Providers

Office Location

Street Address 3660 WAIALAE AVE
SUITE 212
City HONOLULU
State HI
Zip Code 96816-3257

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NPI Name Taxonomy Address Enumeration
1497708069 Elise C. Lew Louie Optometrist 3660 Waialae Ave, Honolulu, HI 96816-3257 2006-05-18
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1952612061 Angela Sauleen Yip King Psychiatry & Neurology 3660 Waialae Ave, Ste 208, Honolulu, HI 96816-3257 2010-06-24
1437472933 Cyma B Wilson Psychologist 3660 Waialae Ave, Suite 208, Honolulu, HI 96816-3257 2010-03-11
1841458817 Wynn H. Okuda Dentist 3660 Waialae Ave, Suite 315, Honolulu, HI 96816-3257 2008-05-27
1043497100 Jaime Noriko Kuamo'o Physical Therapist 3660 Waialae Ave, Suite 205, Honolulu, HI 96816-3257 2008-01-30
1316078314 Jonathan P Cross Dentist 3660 Waialae Ave, Suite 201, Honolulu, HI 96816-3257 2007-03-08
1790825164 Alvin H.l. Chung Dentist 3660 Waialae Ave, Suite 309, Honolulu, HI 96816-3259 2007-02-07
1245241868 Kurt I Nishiguchi Dentist 3660 Waialae Ave, Ste. 202, Honolulu, HI 96816-3257 2006-08-10

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

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1992283980 Sonia Q. Cosio, D.d.s Dentist 1441 Kapiolani Blvd #518, Honolulu, HI 96814 2018-08-01
1134607500 Elliot Kim Dentist 4211 Waialae Ave Ste 500, Honolulu, HI 96816-5318 2018-07-29
1881180685 David Zant Dentist 50 S Beretania St # 117b, Honolulu, HI 96813-2208 2018-07-03
1780197871 Caitlin Sahara Lum Dentist 4211 Waialae Ave Ste 203, Honolulu, HI 96816-5312 2017-11-10
1609322171 Berton Naoki Wong Dentist 1300 Pali Hwy Ste 211, Honolulu, HI 96813-2206 2016-08-25
1730634924 Natsuko Nakatani Dentist 1700 Lanakila Ave Rm 202, Honolulu, HI 96817-2115 2016-08-17
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Competitor

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City HONOLULU
Zip Code 96816

Improve Information

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Dataset Information

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.

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