| Scott A Wardwell D D S Inc | |
|
1150 S King St Ste 601 Honolulu HI 96814-1952 | |
| (808) 946-0713 | |
| (808) 942-2661 |
| Full Name | Scott A Wardwell D D S Inc |
|---|---|
| Speciality | Dentist |
| Location | 1150 S King St Ste 601, Honolulu, Hawaii |
| Authorized Official Name and Position | Scott A Wardwell (PRESIDENT) |
| Authorized Official Contact | 8089460713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott A Wardwell D D S Inc 1150 S King St Ste 601 Honolulu HI 96814-1952 Ph: (808) 946-0713 | Scott A Wardwell D D S Inc 1150 S King St Ste 601 Honolulu HI 96814-1952 Ph: (808) 946-0713 |
| NPI Number | 1649437195 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 04/19/2023 |
| Medicare PECOS PAC ID | 2961820311 |
|---|---|
| Medicare Enrollment ID | O20200916001981 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649437195 | NPI | - | NPPES |
| 91848 | Other | HI | HAWAII DENTAL SERVICE |
| 91848 | Other | GEHA | |
| 91848 | Other | GUARDIAN | |
| 91848 | Other | CIGNA | |
| A58238 | Other | BLUE CROSS BLUE SHIELD | |
| 91848 | Other | METLIFE | |
| A58238 | Other | HI | HAWAII MED SERVICE ASSOC |
| 793732 | Other | UNITED CONCORDIA | |
| 91848 | Other | AETNA | |
| 91848 | Other | UNITED HEALTHCARE | |
| 91848 | Other | USA DELTA | |
| 91848 | Other | HI | HMAA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DT1848 (Hawaii) | Primary |
| 122300000X | Dentist | DDS38942 (California) | Secondary |
| Provider Name | Scott Ashley Wardwell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528391182 PECOS PAC ID: 1254647258 Enrollment ID: I20200916002464 |
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