Provider Demographics
NPI:1063670727
Name:NOMURA, ALAN K (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:K
Last Name:NOMURA
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 1:1040 S KING ST STE 411
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2117
Mailing Address - Country:US
Mailing Address - Phone:808-597-1040
Mailing Address - Fax:
Practice Address - Street 1:1040 S KING ST STE 411
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2117
Practice Address - Country:US
Practice Address - Phone:808-597-1040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI13281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice