Provider Demographics
NPI:1265653604
Name:KYRIAKAKIS, PETER (DMD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:KYRIAKAKIS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1953 S BERETANIA ST
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-1300
Mailing Address - Country:US
Mailing Address - Phone:808-791-0200
Mailing Address - Fax:808-791-0201
Practice Address - Street 1:1953 S BERETANIA ST
Practice Address - Street 2:SUITE 3A
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1300
Practice Address - Country:US
Practice Address - Phone:808-791-0200
Practice Address - Fax:808-791-0201
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT2070122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI545005603Medicaid