Mililani Dental Associates, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DT-1785 Issued in HI

Legal business name

MILILANI DENTAL ASSOCIATES, LLC

Practice address

95-390 Kuahelani Ave
Suite 3E
Mililani, HI 96789-1192

Phone

(808) 623-9800

Fax

(808) 623-9855

NPI assigned

Aug 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Donovan WCK Young, D.D.S.

Title

Member

Phone

(808) 623-9800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1417237447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 ALENCASTRE PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161909",
            "telephone_number": "808-623-9800",
            "fax_number": "808-744-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVE",
            "address_2": "SUITE 3E",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891192",
            "telephone_number": "808-623-9800",
            "fax_number": "808-623-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILILANI DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_middle_name": "WCK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-623-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-1785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Miguel
• Maile N. Miki, OD
• Mark Miki, PT, DPT
• Michael Orville Milcetich-Tano, LMFT
• Mililani Back Care Center, Inc.
• Mililani Dental Inc.
• Mililani Dentists LLC
• Mililani Gastro, LLC
• Mililani Physical Therapy LLC
• Hailey Miller

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.