Provider Demographics
NPI:1184849721
Name:SEIBEL, AMY (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:SEIBEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 YOUNG ST
Mailing Address - Street 2:APARTMENT 209
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1864
Mailing Address - Country:US
Mailing Address - Phone:808-366-5044
Mailing Address - Fax:808-524-1081
Practice Address - Street 1:SEVEN WATER FRONT PLAZA
Practice Address - Street 2:500 ALA MOANA BLVD
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-366-5044
Practice Address - Fax:808-523-3122
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2488122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist