Melissa Nicole Pauli, D.M.D.
Individual provider Active NPI Dentist · Kaneohe Bay, HI
NPI 1013224229 · NPPES record last updated Sep 9, 2010
Key facts
- NPI
- 1013224229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 0401412947 (VA)
- Practice address
- BLDG 3089, D Street
21St Dental Company, Marine Corps Base Hawaii
Kaneohe Bay, HI 96863-3037 - Phone
- (808) 257-3100
- NPI assigned
- Sep 9, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401412947 | VA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401412947 | VA | Yes |
Addresses
Primary practice location
BLDG 3089, D Street
21St Dental Company, Marine Corps Base Hawaii
Kaneohe Bay, HI 96863-3037
Mailing address
BLDG 3089, D Street
21St Dental Company, Marine Corps Base Hawaii
Kaneohe Bay, HI 96863-3037
Phone (808) 257-3100
Other providers in Kaneohe Bay, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.