EMERALD ISLAND ORAL FACIAL SURGERY, INC. (NPI# 1710199054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710199054 |
| Entity Type | Organization |
| Organization Name | EMERALD ISLAND ORAL FACIAL SURGERY, INC. |
| Practice Address |
4414 Kukui Grove St Suite #103 Lihue HI 96766-2016 |
| Practice Telephone | 8082459339 |
| Mailing Telephone | 8082459339 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID H. RUSSELL (PRESIDENT) |
| Authorized Official Telephone | 8082459339 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DT1886 | HI | Dental Providers |
| Street Address |
4414 KUKUI GROVE ST SUITE #103 |
| City | LIHUE |
| State | HI |
| Zip Code | 96766-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528196516 | David Henry Russell | Dentist | 4414 Kukui Grove St, Suite #103, Lihue, HI 96766-2016 | 2007-03-01 |
| 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 | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528196516 | David Henry Russell | Dentist | 4414 Kukui Grove St, Suite #103, Lihue, HI 96766-2016 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952941817 | Oahu Oral and Maxillofacial Surgery | Dentist | 1441 Kapiolani Blvd Ste 920, Honolulu, HI 96814-4405 | 2020-01-08 |
| 1427363571 | Richard A Rasmussen Dds Inc | Dentist | 1063 L Ower Main St Ste C221, Wailuku, HI 96793 | 2010-08-13 |
| 1053545756 | Lyle C. Yanagihara Dds, Ms, Inc. | Dentist | 1441 Kapiolani Blvd Ste 1111, Honolulu, HI 96814-4406 | 2009-05-08 |
| 1457545063 | Jeremy Mark Hannon | Dentist | 45-1144 Kamehameha Hwy Ste #301, Kaneohe, HI 96744 | 2007-08-28 |
| 1205037819 | William R Babbitt | Dentist | 75-127 Lunapule Rd Ste 7, Kailua Kona, HI 96740-2119 | 2007-05-30 |
| 1356461883 | James Papayoanou | Dentist | 1754 Akaakaawa St, Kailua, HI 96734-4201 | 2007-03-29 |
| 1801924659 | Todd K. Haruki | Dentist | 1060 Young St Ste 312, Honolulu, HI 96814-1609 | 2007-03-02 |
| 1821130576 | Matthew S. Abraham | Dentist | 338 Kamokila Blvd Ste 203, Kapolei, HI 96707-2055 | 2007-02-12 |
| 1114071107 | Earl Akio Hasegawa | Dentist | 135 S Wakea Ave Ste 103, Kahului, HI 96732-1385 | 2007-01-23 |
| 1750444030 | Joan M Greco | Dentist | 65-1230 Mamalahoa Hwy Ste C10, Kamuela, HI 96743-8445 | 2006-12-18 |
| Find all providers with the same taxonomy | ||||
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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.