Provider Demographics
NPI:1306228663
Name:DR. NEIL FURUYA DDS, LLC
Entity Type:Organization
Organization Name:DR. NEIL FURUYA DDS, LLC
Other - Org Name:HONOLULU PERIODONTICS AND IMPLANTS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PERIODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:BRYANT
Authorized Official - Last Name:FURUYA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-593-9400
Mailing Address - Street 1:615 PIIKOI ST PH 2
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3138
Mailing Address - Country:US
Mailing Address - Phone:808-593-9400
Mailing Address - Fax:808-597-1700
Practice Address - Street 1:615 PIIKOI ST PH 2
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3138
Practice Address - Country:US
Practice Address - Phone:808-593-9400
Practice Address - Fax:808-597-1700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-23
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT15201223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty