Melissa Mahealani Beaudet-Uy, D.D.S.

Individual provider Active NPI General Practice Dentistry · Kailua Kona, HI

NPI 1831241256 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1831241256
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DT1662 (HI)
Practice address
76-6225 Kuakini Hwy
Ste. A106
Kailua Kona, HI 96740-3211
Phone
(808) 329-7351
Fax
(808) 334-0055
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DT1662HIMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DT1662 HI Yes

Addresses

Primary practice location

76-6225 Kuakini Hwy
Ste. A106
Kailua Kona, HI 96740-3211

Mailing address

76-6225 Kuakini Hwy
Ste. A106
Kailua Kona, HI 96740-3211
Phone (808) 329-7351

Other providers in Kailua Kona, HI

All providers in Kailua Kona, HI · General Practice Dentistry in Hawaii

Sources for this page

Verify at the official NPI Registry.