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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