Organization
HAWAII DENTAL GROUP, INC.
Active
Parent organization
HAWAII DENTAL GROUP, INC.
Other names
Hawaii Family Dental Centers-Kahului
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAWAII DENTAL GROUP, INC.
Authorized official
DR. GARY KONDO (CHIEF EXECUTIVE OFFICER)
(808) 523-3103
Entity
Organization
Contact information
Practice address
95 LONO AVE, SUITE 210, KAHULUI, HI 96732-1610
(808) 877-5328
(808) 877-3496
Mailing address
500 ALA MOANA BLVD, SUITE 7-220, HONOLULU, HI 96813-4920
(808) 523-3103
(808) 523-3122
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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