Provider Demographics
NPI:1295218113
Name:BRADLEY K. HOOK
Entity Type:Organization
Organization Name:BRADLEY K. HOOK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:HOOK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:980-826-1469
Mailing Address - Street 1:305 ULUNIU STREET
Mailing Address - Street 2:SUITE #105
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734
Mailing Address - Country:US
Mailing Address - Phone:808-241-4696
Mailing Address - Fax:808-263-7897
Practice Address - Street 1:305 ULUNIU STREET
Practice Address - Street 2:SUITE #105
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734
Practice Address - Country:US
Practice Address - Phone:808-241-4696
Practice Address - Fax:808-263-7897
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRADLEY K. HOOK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty