HAWAII DENTAL GROUP, INC. (NPI# 1699083410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699083410 |
| Entity Type | Organization |
| Organization Name | HAWAII DENTAL GROUP, INC. |
| Other Organization Name | HAWAII FAMILY DENTAL CENTERS-KUKUI GROVE |
| Practice Address |
4473 Pahee St Suite K Lihue HI 96766-2037 |
| Mailing Address |
500 Ala Moana Blvd Suite 7-220 Honolulu HI 96813-4920 |
| Practice Telephone | 8082456363 |
| Practice Fax Number | 8082456952 |
| 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-Kukui Grove | 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 |
| 1609184423 | Hawaii Dental Group, Inc. | Dentist | 95 Lono Ave, Suite 210, Kahului, HI 96732-1610 | 2010-09-14 |
| 1780992503 | Hawaii Dental Group, Inc. | Dentist | 68-1845 Waikoloa Rd, Suite 205, Waikoloa, HI 96738-5584 | 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 |
4473 PAHEE ST SUITE K |
| City | LIHUE |
| State | HI |
| Zip Code | 96766-2037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831864 | R. Craig Netzer | Internal Medicine | 4473 Pahee St, Ste O, Lihue, HI 96766-2037 | 2005-06-20 |
| 1699968362 | Pacific Breeze Gyn, LLC | Midwife | 4473 Pahee St, Suite R, Lihue, HI 96766-2037 | 2007-08-24 |
| 1104940352 | Joseph M Salamon | Dentist | 4473 Pahee St, Suite K, Lihue, HI 96766-2037 | 2007-03-16 |
| 1770636938 | Matt Hoshino | Dentist | 4473 Pahee St, Suite K, Lihue, HI 96766-2037 | 2007-01-19 |
| 1144396250 | Donna Farley | Midwife | 4473 Pahee St, Suite# R, Lihue, HI 96766-2037 | 2006-11-28 |
| 1316012289 | R. Craig Netzer Md Inc | Internal Medicine | 4473 Pahee St, Ste O, Lihue, HI 96766-2037 | 2006-11-22 |
| 1922010859 | St. Francis Community Health Services | Home Health | 4473 Pahee St, Suite N, Lihue, HI 96766-2037 | 2006-08-12 |
| 1154368090 | Michael S Braun, Md LLC | Internal Medicine | 4473 Pahee St, Lihue, HI 96766-2037 | 2006-05-31 |
| 1316996358 | Michael Steven Braun | Internal Medicine | 4473 Pahee St, Suite#o, Lihue, HI 96766-2037 | 2006-05-08 |
| 1649246059 | Niraj Suresh Desai | Specialist | 4473 Pahee St, Suite L, Lihue, HI 96766-2037 | 2006-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154989747 | Amber Denise Leach | Hearing Instrument Specialist | 4405 Kukei Grove St Suite 101, Lihue, HI 96766 | 2019-05-30 |
| 1730746264 | Maria Celeste I Papa | Home Health | 2980 Ewalu St., Unit 1, Lihue, HI 96766 | 2019-05-20 |
| 1588141287 | Dr. Joseph Schafermeyer LLC. | Dentist | 4381 Kukui Grove St., Ste. 2, Lihue, HI 96766 | 2018-07-25 |
| 1497232466 | Island Hand Therapy Clinic LLC | Occupational Therapist | 3175 Elua St Ste A, Lihue, HI 96766 | 2018-07-23 |
| 1245717578 | Robert M. Long, Dds. Inc. | Dentist | 4359 Kukui Grove Street, Suite 104, Lihue, HI 96766 | 2018-07-19 |
| 1922599547 | Annette Marisa Martinez | Behavior Technician | 3-3367 Kuhio Hwy # 211, Lihue, HI 96766 | 2018-05-21 |
| 1053822510 | Christopher Michael Wilson | Behavior Technician | 3-3367 Kuhio Hwy Ste 204, Lihue, HI 96766 | 2017-10-23 |
| 1740706308 | Kaumualii Medical Supplies | Durable Medical Equipment & Medical Supplies | 3-2600 Kaumualii Hwy 1300 #114, Lihue, HI 96766 | 2017-08-16 |
| 1629598925 | Araceli Rapozo | Counselor | 4370-kukui Grove St Suite 3-211, Lihue, HI 96766 | 2017-06-27 |
| 1629504725 | Chantelle Kane | Behavioral Analyst | 3122 Kuhio Hwy, Lihue, HI 96766 | 2017-05-10 |
| Find all providers in zip 96766 | ||||
| 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 |
|---|---|---|---|---|
| 1245717578 | Robert M. Long, Dds. Inc. | Dentist | 4359 Kukui Grove Street, Suite 104, Lihue, HI 96766 | 2018-07-19 |
| 1689051443 | Alan J Ing Dds LLC | Dentist | 4400 Pahee Street, Lihue, HI 96766 | 2015-04-30 |
| 1487976122 | Royce Y Fujimoto Dds Inc | Dentist | 3136 Akahi St Ste C, Lihue, HI 96766-1100 | 2010-02-23 |
| 1639407778 | Antolin G. Apalla, Jr. Dmd, Inc. | Dentist | 4139 Hardy Street, Suite D, Lihue, HI 96766-1357 | 2009-12-01 |
| 1477783454 | Paul Hamamoto, D.d.s., Inc. | Dentist | 3206 Akahi St Ste 3, Lihue, HI 96766-1171 | 2009-07-23 |
| 1043465578 | Greg K Naganuma | Dentist | 4341 Kukui Grove St., Suite 2, Lihue, HI 96766 | 2008-11-25 |
| 1588877500 | Robert Michael Long | Dentist | 4359 Kukui Grove St, #104, Lihue, HI 96766-2008 | 2007-05-07 |
| 1992921746 | Clay Riki Hiramoto | Dentist | 4253 Rice St, Suite D, Lihue, HI 96766-1315 | 2007-04-18 |
| 1275662264 | Jay Yoshinori Hiramoto | Dentist | 3136e Akahi St, Lihue, HI 96766-1100 | 2007-03-05 |
| 1801925607 | John R. Black | Dentist | 4347 Rice St Ste 202, Lihue, HI 96766-1335 | 2007-03-05 |
| Find all providers in LIHUE | ||||
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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.