Provider Demographics
NPI:1043358799
Name:NAKAHARA, SCOTT T (DDS)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:T
Last Name:NAKAHARA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45-3290 OHIA ST
Mailing Address - Street 2:
Mailing Address - City:HONOKAA
Mailing Address - State:HI
Mailing Address - Zip Code:96727-6931
Mailing Address - Country:US
Mailing Address - Phone:808-775-7294
Mailing Address - Fax:
Practice Address - Street 1:45-3290 OHIA ST
Practice Address - Street 2:
Practice Address - City:HONOKAA
Practice Address - State:HI
Practice Address - Zip Code:96727-6931
Practice Address - Country:US
Practice Address - Phone:808-775-7294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI12641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice