Provider Demographics
NPI:1205833514
Name:TORIGOE, NOEL S (DDS)
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:S
Last Name:TORIGOE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1010 S KING ST
Mailing Address - Street 2:803
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1701
Mailing Address - Country:US
Mailing Address - Phone:808-596-2295
Mailing Address - Fax:808-597-1269
Practice Address - Street 1:1010 S KING ST
Practice Address - Street 2:803
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1701
Practice Address - Country:US
Practice Address - Phone:808-596-2295
Practice Address - Fax:808-597-1269
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI815101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIB2865-0OtherHMSA PROVIDER NUMBER
HI02568401Medicaid
HI8-1510OtherHDS PROVIDER #
HI829487OtherUNITED CONCORDIA PROVIDER