Matthew Kawabori Bruner, DDS, MS

Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Tripler AMC, HI

NPI 1013994292 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1013994292
Entity type
Individual (NPI type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
2013 (HI)
Practice address
1 Jarrett White Road
Attn: MCDS-NH US Army Dental Activity Hawaii
Tripler AMC, HI 96859-5000
Phone
(808) 433-1021
Fax
(808) 433-3928
NPI assigned
Dec 28, 2005
Sex
Male
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2013HIMDClinical Child & Adolescent Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2013 HI Yes

Addresses

Primary practice location

1 Jarrett White Road
Attn: MCDS-NH US Army Dental Activity Hawaii
Tripler AMC, HI 96859-5000

Mailing address

1 Jarrett White Road
Attn: MCDS-NH US Army Dental Activity Hawaii
Tripler AMC, HI 96859-5000
Phone (808) 433-1021

Other providers in Tripler AMC, HI

All providers in Tripler AMC, HI · Orthodontics and Dentofacial Orthopedics Dentistry in Hawaii

Sources for this page

Verify at the official NPI Registry.