Mililani Dentists LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DT2521 Issued in HI

Legal business name

MILILANI DENTISTS LLC

Practice address

95-390 Kuahelani Ave # 4E95-390
Mililani, HI 96789-1192

Phone

(808) 538-6522

NPI assigned

Jun 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Lisa WH Wong, DMD

Title

Manager

Phone

(808) 538-6522

Specialties & licenses 1

Addresses

Other names 1

• Hawaii Dental Clinic Mililani Doing business as

Locations

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1720573165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 QUEEN ST STE 100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVE # 4E95-390",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891192",
            "telephone_number": "808-538-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILILANI DENTISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "WH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-538-6522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "HI",
            "license": "DT2521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Dental Clinic Mililani",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Miki, PT, DPT
• Michael Orville Milcetich-Tano, LMFT
• Mililani Back Care Center, Inc.
• Mililani Dental Associates, LLC
• Mililani Dental Inc.
• Mililani Gastro, LLC
• Mililani Physical Therapy LLC
• Hailey Miller
• Melannie Miller, APRN
• Minerva Pasquin Miller

• Dental Clinic/Center in Mililani, HI
• Providers in Mililani, HI by specialty
• Dental Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.