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Organization

SCOTT A WARDWELL D D S INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT A WARDWELL D D S (PRESIDENT)
(808) 946-0713
Entity
Organization

Contact information

Practice address
1150 S KING ST STE 601, HONOLULU, HI 96814-1952
(808) 946-0713
(808) 942-2661
Mailing address
1150 S KING ST STE 601, HONOLULU, HI 96814-1952
(808) 946-0713
(808) 942-2661

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DDS38942
CA
122300000X
Dentist
Primary
DT1848
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
793732
UNITED CONCORDIA
01
91848
HAWAII DENTAL SERVICE
HI
01
91848
GEHA
01
A58238
HAWAII MED SERVICE ASSOC
HI
01
A58238
BLUE CROSS BLUE SHIELD
Enumeration date
05/21/2008
Last updated
04/19/2023
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