Organization
KONA CENTER OF FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN M GRECO DDS (PRESIDENT/OWNER)
(808) 885-9000
Entity
Organization
Contact information
Practice address
65-1230 MAMALAHOA HWY, C10-12, KAMUELA, HI 96743-8318
(808) 885-9000
Mailing address
65-1230 MAMALAHOA HWY, C10-12, KAMUELA, HI 96743-8318
(808) 885-9000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DT1813
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03442901
—
HI
01
—
38042
HAWAII MEDICAL SERVICE ASSOCIATION
HI
Enumeration date
05/21/2009
Last updated
05/21/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us