Sweetwater Dental L.L.C.

Primary specialty

DentistTaxonomy code 122300000X

License

2118 Issued in HI

Legal business name

SWEETWATER DENTAL L.L.C.

Practice address

1136 Union Mall Suite 502
Honolulu, HI 96813

Phone

(808) 947-2929

NPI assigned

Mar 27, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Xiao Li Shelly Huang, D.D.S.

Title

Owner - Dentist

Phone

(808) 947-2929

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1013334028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 UNION MALL SUITE 502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-947-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 UNION MALL SUITE 502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-947-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER DENTAL L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "XIAO LI",
        "authorized_official_middle_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER - DENTIST",
        "authorized_official_telephone_number": "808-947-2929",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "2118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57533405",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Swanson
• Sarah Swanson, RN MSN
• Kevin Joseph Sweeney
• Robert Sweeney
• Sweet Manoa LLC
• Swell LLC
• Dianne Swengler
• Kristen Swift
• Kathryn Jean Swim, DO
• Timothy J Swindoll, D.O., M.P.H.

• Dentist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.