Princeville Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT2348 Issued in HI

Legal business name

PRINCEVILLE DENTAL, LLC

Practice address

5-4280 Kuhio Hwy
Suite 220
Princeville, HI 96722-5451

Phone

(808) 212-1806

Fax

(808) 212-1825

NPI assigned

Nov 18, 2014

Last updated

Nov 18, 2014By 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. Thomas Atkin, DMD

Title

Dentist

Phone

(808) 212-1806

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, and the practitioner matching its NPPES authorized official.

• Mindy Michon Fugett, DMD

  • General Practice Dentistry
  • Reno, NV
  • NPI 1922237114
  NPD (past)

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1588060594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223466",
            "city": "PRINCEVILLE",
            "state": "HI",
            "postal_code": "967223466",
            "telephone_number": "808-212-1806",
            "fax_number": "808-212-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5-4280 KUHIO HWY",
            "address_2": "SUITE 220",
            "city": "PRINCEVILLE",
            "state": "HI",
            "postal_code": "967225451",
            "telephone_number": "808-212-1806",
            "fax_number": "808-212-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCEVILLE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "ATKIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "808-212-1806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT2348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pak Medical Group, LLC
• Tulasi Adeva Perrin, MA, CYT
• Shayne Nicole Opal Phillips, FNP-C
• Princeville Chiropractic Inc
• Princeville Chiropractic, Inc.
• Princeville Pharmacy and Health Emporium LLC
• Jana Aulani Redaus Purdy
• Rainbows Light LLC
• Cherokee Rose Lee Rova, PAC
• Teal Lani Sargent, LCSW

• General Practice Dentistry in Princeville, HI
• Providers in Princeville, 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 Nov 18, 2014; 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.