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45-549 Plumeria St Honokaa HI 96727-6902 | |
| (808) 775-7204 | |
| (808) 775-9404 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 45-549 Plumeria St, Honokaa, Hawaii |
| Authorized Official Name and Position | Irene J Carpenter (CEO) |
| Authorized Official Contact | 8087757204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
45-549 Plumeria St Honokaa HI 96727-6902 Ph: (808) 775-7204 | 45-549 Plumeria St Honokaa HI 96727-6902 Ph: (808) 775-7204 |
| NPI Number | 1649562083 |
|---|---|
| Provider Enumeration Date | 05/04/2011 |
| Last Update Date | 11/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649562083 | NPI | - | NPPES |
| 121813 | Other | HI | MEDICARE FQHC |
| 51864901 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Orchid Isle Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45-3290 Ohia St Ste 1, Honokaa, HI 96727 Phone: 808-775-7294 Fax: 808-775-1314 | |
Scott T. Nakahara, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45-3290 Ohia St, Honokaa, HI 96727 Phone: 808-775-7294 |