Provider Demographics
NPI:1275662264
Name:HIRAMOTO, JAY YOSHINORI (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:YOSHINORI
Last Name:HIRAMOTO
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:PO BOX 1527
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-5527
Mailing Address - Country:US
Mailing Address - Phone:808-245-3743
Mailing Address - Fax:808-246-4739
Practice Address - Street 1:3136E AKAHI ST
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1100
Practice Address - Country:US
Practice Address - Phone:808-245-3743
Practice Address - Fax:808-246-4739
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI7251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice