Dental Concepts LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2033 Issued in HI

Legal business name

DENTAL CONCEPTS LLC

Doing business as

Pearl City Dental Corner

Practice address

98-1238 Kaahumanu St
Suite 305
Pearl City, HI 96782-3291

Phone

(808) 487-3355

Fax

(808) 486-3535

NPI assigned

Dec 10, 2012

Last updated

Dec 10, 2012By 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. Darren D.K. Wong, DDS

Title

Member

Phone

(925) 956-2002

Specialties & licenses 1

Addresses

Other names 1

• Pearl City Dental Corner Doing business as

Locations

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1356686844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1238 KAAHUMANU ST",
            "address_2": "SUITE 305",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823291",
            "telephone_number": "808-487-3355",
            "fax_number": "808-486-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1238 KAAHUMANU ST",
            "address_2": "SUITE 305",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823291",
            "telephone_number": "808-487-3355",
            "fax_number": "808-486-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "D.K.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "925-956-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "2033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl City Dental Corner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rizel Patricio De Guzman
• Sydny Degerlund, RN
• Regina Deguzman
• Karisa Alana Deitch, RN, BSN
• Keri Mieko Tokimasa Delos Santos
• Dept. of Health-Hawaii-Child and Adolescent Mental Health Division
• Dept. of Health-Hawaii-Developmental Disabilities Division Cmu5
• Dept. of Health-Hawaii-Developmental Disabilities Division Cmu6
• Dept. of Health-Hawaii-Developmental Disabilities Division Cmu7
• Dept. of Health-Hawaii-Developmental Disabilities Division Cmu8

• General Practice Dentistry in Pearl City, HI
• Providers in Pearl City, 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 Dec 10, 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.