# UNIVERSITY OF HAWAII MAUI COMMUNITY COLLEGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maui Oral Health Center Initiative
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518012434
- **Authorized official:** MS. NANCY K JOHNSON MSN APRN (ALLIED HEALTH DEPARTMENT CHAIR)
- **Authorized official phone:** (808) 984-3250

## Contact information

- **Practice address:** 752 LOWER MAIN STREET, MAUI ORAL HEALTH CENTER INITIATIVE, WAILUKU, HI 96793-1454
- **Practice address phone:** (808) 244-4559
- **Practice address fax:** (808) 244-9012
- **Mailing address:** 310 KAAHUMANU AVE, ALLIED HEALTH DEPARTMENT MAUI COMMUNITY COLLEGE, KAHULUI, HI 96732-1644
- **Mailing address phone:** (808) 984-3250
- **Mailing address fax:** (808) 249-2175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/22/2020