Individual
DR. WALLACE F. CHONG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
74 PONAHAWAI ST, HILO, HI 96720-3026
(808) 935-5651
(808) 935-5551
Mailing address
74 PONAHAWAI ST, HILO, HI 96720-3026
(808) 935-5651
(808) 935-5551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2021
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021
LICENSE NUMBER
HI
01
—
23086-2
HMSA NUMBER
HI
05
—
518087 01
—
HI
Enumeration date
02/27/2007
Last updated
07/08/2007
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