Mill Town Dental Clinic, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT-1990 Issued in HI

Legal business name

MILL TOWN DENTAL CLINIC, LLC

Practice address

94-428 Mokuola St
Suite 104
Waipahu, HI 96797-3396

Phone

(808) 678-8300

Fax

(808) 678-8303

NPI assigned

Feb 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marilou Cabalo Cababat, D.M.D.NPI 1154457430

Title

Dentist

Phone

(808) 678-8300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marilou Cabalo Cababat, DMD

  • General Practice Dentistry
  • Waipahu, HI
  • NPI 1154457430
  NPD (past) Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194851923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-428 MOKUOLA ST",
            "address_2": "SUITE 104",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973396",
            "telephone_number": "808-678-8300",
            "fax_number": "808-678-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-428 MOKUOLA ST",
            "address_2": "SUITE 104",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973396",
            "telephone_number": "808-678-8300",
            "fax_number": "808-678-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL TOWN DENTAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CABABAT",
        "authorized_official_first_name": "MARILOU",
        "authorized_official_middle_name": "CABALO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "808-678-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keenan Meyer
• Princess Micua
• Jay Miguel
• Mary Grace Gem Simsiman Miguel
• Shannonguille Mijares
• Arturo Millan
• Chelsy Oneidys Millan
• Jazlynn Miller
• Maciah Bracole Miller
• Roseanne Miller, RN

• General Practice Dentistry in Waipahu, HI
• Providers in Waipahu, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.