| Oral And Maxillofacial Surgery Associates Inc | |
|
1580 Makaloa St Suite 725 Honolulu HI 96814 | |
| (808) 973-3747 | |
| (808) 973-3757 |
| Full Name | Oral And Maxillofacial Surgery Associates Inc |
|---|---|
| Speciality | Dentist |
| Location | 1580 Makaloa St, Honolulu, Hawaii |
| Authorized Official Name and Position | Gregory Lung (PRESIDENT) |
| Authorized Official Contact | 8089733747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Maxillofacial Surgery Associates Inc 1580 Makaloa St Suite 725 Honolulu HI 96814-3237 Ph: (808) 973-3747 | Oral And Maxillofacial Surgery Associates Inc 1580 Makaloa St Suite 725 Honolulu HI 96814 Ph: (808) 973-3747 |
| NPI Number | 1962617597 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 09/04/2018 |
| Medicare PECOS PAC ID | 7012073018 |
|---|---|
| Medicare Enrollment ID | O20090226000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962617597 | NPI | - | NPPES |
| 1326130717 | Other | HI | INDIVIDUAL NPI |
| 1689772659 | Other | HI | PATNER'S INDIVIDUAL NPI |
| HOMS | Other | HI | MEDICARE LEGACY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 1088 (Hawaii) | Primary |
| Provider Name | David S Haynes |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912161605 PECOS PAC ID: 1456386440 Enrollment ID: I20050928000894 |
| Provider Name | Gregory Y C Lung |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1689772659 PECOS PAC ID: 7618033622 Enrollment ID: I20090226000653 |
| Provider Name | Michael J Pampalon |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1902049174 PECOS PAC ID: 7810217411 Enrollment ID: I20181001002109 |
| Provider Name | James Masataka Michino |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1730494931 PECOS PAC ID: 1850638602 Enrollment ID: I20190131003359 |
David H. Ota, Dds., Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 W Hind Dr, Suite 115, Honolulu, HI 96821 Phone: 808-373-9895 | |
Alvin H. L. Chung Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3468 Waialae Ave Ste 222, Honolulu, HI 96816 Phone: 808-737-8988 Fax: 808-737-8991 | |
Kevin M. Mizoguchi, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Piikoi St, Suite 507, Honolulu, HI 96814 Phone: 808-596-8020 Fax: 808-597-6149 | |
Dean T. Sueda Dds.ms, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 Kapiolani Blvd, Suite 617, Honolulu, HI 96814 Phone: 808-944-1603 Fax: 808-949-3100 | |
Hugh T. Matsumura, Dmd, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 S King St, Suite 504, Honolulu, HI 96814 Phone: 808-596-2553 | |
Sweetwater Dental L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1136 Union Mall Suite 502, Honolulu, HI 96813 Phone: 808-947-2929 |