# RODNEY N. NISHIMOTO, DMD, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225619505
- **Authorized official:** DR. RODNEY NAKANO NISHIMOTO DMD, MD (MEMBER)
- **Authorized official phone:** (808) 739-5678

## Contact information

- **Practice address:** 900 PUNAHOU ST STE 101, HONOLULU, HI 96826-2500
- **Practice address phone:** (808) 949-8681
- **Practice address fax:** (808) 949-2488
- **Mailing address:** 900 PUNAHOU ST STE 101, HONOLULU, HI 96826-2500
- **Mailing address phone:** (808) 949-8681
- **Mailing address fax:** (808) 949-2488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2021
- **Last updated:** 09/20/2021