SALT LAKE FAMILY DENTISTRY (NPI# 1790121739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790121739 |
| Entity Type | Organization |
| Organization Name | SALT LAKE FAMILY DENTISTRY |
| Practice Address |
848 Ala Lilikoi St Ste 112 Honolulu HI 96818-2109 |
| Practice Telephone | 8088397209 |
| Practice Fax Number | 8088367700 |
| Mailing Telephone | 8088397209 |
| Mailing Fax Number | 8088367700 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |
| Authorized Official Name | CHERYL TAMANAHA (OWNER) |
| Authorized Official Telephone | 8088397209 |
| Is Organization Subpart | Y |
| Parent Organization Name | SALT LAKE FAMILY DENTISTRY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DT1944 | HI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053757807 | Salt Lake Family Dentistry | Dentist | 905 C Makahiki Way, Honolulu, HI 96826 | 2013-05-21 |
| Street Address |
848 ALA LILIKOI ST STE 112 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96818-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356992457 | Emma Jo Ann Marquez | Military Health Care Provider | 755 Scott Circle Drive, Honolulu, HI 96818 | 2019-09-20 |
| 1497227979 | Melanie Fujii | Behavior Technician | 4510 Salt Lake Boulevard, Suite D-8, Honolulu, HI 96818 | 2018-12-21 |
| 1174016687 | Kerestin Elizabeth Walker | Counselor | 615 Piikoi St, Suite 203, Honolulu, HI 96818 | 2018-06-08 |
| 1598272411 | Juli K Kaaihue | Behavior Technician | 4510 Salt Lake Blvd., D-8, Honolulu, HI 96818 | 2017-12-30 |
| 1861904864 | Joanna Wolford | Licensed Practical Nurse | 1514 Makalapa Drive, Apo, AA 96818 | 2017-10-30 |
| 1093232662 | Lorri Kim Gomes | Social Worker | 1147 Ala Napunani St., #206, Honolulu, HI 96818 | 2017-08-24 |
| 1871960278 | Cassandra Fisher | Speech-Language Pathologist | 202a Beard Ave, Honolulu, HI 96818 | 2015-09-01 |
| 1689073959 | Eanah Whaley | Psychologist | 750 Signer Blvd Bldg 554, Honolulu, HI 96818 | 2014-08-22 |
| 1346599214 | Hawaii Mobility | Durable Medical Equipment & Medical Supplies | 4355 Lawehana #8, Honolulu, HI 96818 | 2012-09-06 |
| 1326303181 | Evelyn Ogami-glary | Massage Therapist | 1780 Bougainvillea Lp, Physical Fitness Center Aliamanu Military Reservation, Honolulu, HI 96818 | 2012-07-09 |
| Find all providers in zip 96818 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659862977 | Leilani C. Curameng Dmd LLC | Dentist | 677 Ala Moana Blvd Ste 304, Honolulu, HI 96813-5415 | 2018-05-22 |
| 1164925764 | Christopher Thuc Wu Jr. | Dentist | Queen's Medical Center- Dental Clinic, 1301 Punchbowl St, Honolulu, HI 96813 | 2018-03-10 |
| 1821516097 | Bryson Chang | Dentist | 3270 Waialae Ave, Honolulu, HI 96816-5836 | 2017-09-07 |
| 1114442217 | Yunah Park | Dentist | 500 Ala Moana Boulevard, Seven Waterfront Plaza, #220, Honolulu, HI 96813 | 2017-08-09 |
| 1578934857 | Stuart Ueda, D.m.d. | Dentist | 738 Kaheka St Ste 205, Honolulu, HI 96814-3726 | 2015-10-13 |
| 1780050112 | Kentaro Matsumoto | Dentist | 1010 S King St Ste 206, Honolulu, HI 96814-1703 | 2015-08-20 |
| 1386050508 | Century Dental, LLC | Dentist | 1188 Bishop St Ste 3508, Honolulu, HI 96813-3314 | 2014-07-08 |
| 1649610403 | Elsa F Mueller | Dentist | 1737 Nalulu Pl, Honolulu, HI 96821-1338 | 2013-06-26 |
| 1053757807 | Salt Lake Family Dentistry | Dentist | 905 C Makahiki Way, Honolulu, HI 96826 | 2013-05-21 |
| 1396097259 | Tina N. Tom, Dds A Professional Corporation | Dentist | 1600 Kapiolani Blvd Ste 807, Honolulu, HI 96814-3802 | 2012-10-02 |
| Find all providers in HONOLULU | ||||
Please comment or provide details below to improve the information on SALT LAKE FAMILY DENTISTRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.