Provider Demographics
NPI:1376895862
Name:DUNKELBERGER, ERIK M (DDS)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:M
Last Name:DUNKELBERGER
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 1:602 KAILUA RD STE 201
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2841
Mailing Address - Country:US
Mailing Address - Phone:808-263-6620
Mailing Address - Fax:
Practice Address - Street 1:602 KAILUA RD STE 201
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2841
Practice Address - Country:US
Practice Address - Phone:808-263-6620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-2635122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist