| Hawai I Mobile Dental Inc | |
|
95-390 Kuahelani Ave 3ac-1193 Mililani HI 96789-1192 | |
| (808) 201-9273 | |
| Not Available |
| Full Name | Hawai I Mobile Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 95-390 Kuahelani Ave, Mililani, Hawaii |
| Authorized Official Name and Position | Bradley Thomas-terroll Hawkins (GENERAL DENTIST/PRESIDENT) |
| Authorized Official Contact | 8082019273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawai I Mobile Dental Inc 95-390 Kuahelani Ave # 3ac-1193 Mililani HI 96789-1192 Ph: (808) 201-9273 | Hawai I Mobile Dental Inc 95-390 Kuahelani Ave 3ac-1193 Mililani HI 96789-1192 Ph: (808) 201-9273 |
| NPI Number | 1598482614 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 01/18/2023 |
| Medicare PECOS PAC ID | 2769853522 |
|---|---|
| Medicare Enrollment ID | O20230114000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598482614 | NPI | - | NPPES |
| 15743316 | Other | HI | ADA CREDENTIALLING PORTAL: CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Bradley Thomas-terroll Hawkins |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1821648486 PECOS PAC ID: 3678944436 Enrollment ID: I20230118000682 |
Mililani Dental Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 95-1249 Meheula Parkway, 138, Mililani, HI 96789 Phone: 808-625-6223 | |
Gentle Dental (mililani) Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 95-390 Kuahelani Ave, Ste 4b, Mililani, HI 96789 Phone: 808-623-2888 Fax: 808-623-2440 | |
Staphe T. Fujimoto, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 95-720 Lanikuhana Ave, 230, Mililani, HI 96789 Phone: 808-625-6333 Fax: 808-625-6640 | |
John William K.m.chang,d.d.s, L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 95-1105 Ainamakua Dr, #202, Mililani, HI 96789 Phone: 206-291-8879 | |
Dental Arts Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 95-1099 Ainamakua Dr Ste 1, Mililani, HI 96789 Phone: 808-625-6300 Fax: 808-623-6810 | |
David E Lum Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 95-1099 Ainamakua Dr, Ste 3, Mililani, HI 96789 Phone: 808-623-2871 Fax: 808-625-8739 | |
William K.y Lum, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 95-390 Kuahelani Ave, Mililani, HI 96789 Phone: 808-623-2871 Fax: 808-625-8739 |