Emerald Island Oral Facial Surgery, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DT1886 Issued in HI

Legal business name

EMERALD ISLAND ORAL FACIAL SURGERY, INC.

Practice address

4414 Kukui Grove St
Suite #103
Lihue, HI 96766-2016

Phone

(808) 245-9339

NPI assigned

May 7, 2007

Last updated

Jun 25, 2024By 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. David H. Russell, D.M.D.NPI 1528196516

Title

President

Phone

(808) 245-9339

Specialties & licenses 1

Addresses

Locations

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.

• David Henry Russell, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Lihue, HI
  • NPI 1528196516
  Authorized official Same address or phone

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1710199054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4381 KUKUI GROVE ST UNIT 101",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661639",
            "telephone_number": "808-245-9339",
            "fax_number": "808-246-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 KUKUI GROVE ST",
            "address_2": "SUITE #103",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662016",
            "telephone_number": "808-245-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD ISLAND ORAL FACIAL SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-06-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-245-9339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "HI",
            "license": "DT1886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ameer Eghbarieh
• Christina Marie Eichenauer, APRN
• Bryson Ellegard
• Christopher David Elliott, M.D.
• Haley Ellis, M.ED
• Meynard Villenas Enriquez, PT
• Equip LLC
• Tara D. Erb
• Sharon Lois Longe Espina, ARNP
• Bree Estes

• Oral and Maxillofacial Surgery (Dentist) in Lihue, HI
• Providers in Lihue, HI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.