Punahou Dental Associates, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

1309 Issued in HI

Legal business name

PUNAHOU DENTAL ASSOCIATES, LLC

Practice address

900 Punahou St Ste 201
Honolulu, HI 96826-2500

Phone

(808) 947-1323

Fax

(808) 947-8902

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. George Wessberg, D.D.S.

Title

Member

Phone

(808) 223-2731

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alton Kiyoyuki Fujii, DMD

  • Dentist
  • Honolulu, HI
  • NPI 1114096674
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1285978296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PUNAHOU ST STE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262500",
            "telephone_number": "808-947-1323",
            "fax_number": "808-947-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PUNAHOU ST STE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262500",
            "telephone_number": "808-947-1323",
            "fax_number": "808-947-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNAHOU DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "WESSBERG",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-223-2731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "1309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Nov 15, 2012; 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.