Provider Demographics
NPI:1437198199
Name:HIRANAKA, DAVID K (MD, DMD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:K
Last Name:HIRANAKA
Suffix:
Gender:M
Credentials:MD, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76-6225 KUAKINI HWY
Mailing Address - Street 2:SUITE A102
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-3211
Mailing Address - Country:US
Mailing Address - Phone:808-326-2040
Mailing Address - Fax:808-326-7273
Practice Address - Street 1:76-6225 KUAKINI HWY
Practice Address - Street 2:SUITE A102
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-3211
Practice Address - Country:US
Practice Address - Phone:808-326-2040
Practice Address - Fax:808-326-7273
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-21801223S0112X
HIMD-87881223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH101596Medicare PIN