Provider Demographics
NPI:1356677967
Name:JAMES MERRET DDS INC
Entity Type:Organization
Organization Name:JAMES MERRET DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:MERRETT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-873-0707
Mailing Address - Street 1:140 HOOHANA ST STE 301
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-2467
Mailing Address - Country:US
Mailing Address - Phone:808-873-0707
Mailing Address - Fax:
Practice Address - Street 1:140 HOOHANA ST STE 301
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2467
Practice Address - Country:US
Practice Address - Phone:808-873-0707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI18471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty