Ryan Beetham, DMD
Individual provider Active NPI Periodontics · Honolulu, HI
NPI 1669025680 · NPPES record last updated Aug 1, 2026
Key facts
- NPI
- 1669025680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- DT3305 (HI)
- Practice address
- 2226 Liliha St Ste 408
Honolulu, HI 96817-1668 - Phone
- (808) 593-9400
- NPI assigned
- Jul 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics |
1223P0300X | DT3305 | HI | Yes |
Addresses
Primary practice location
2226 Liliha St Ste 408
Honolulu, HI 96817-1668
Mailing address
2226 Liliha St Ste 408
Honolulu, HI 96817-1668
Phone (808) 593-9400
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.