Provider Demographics
NPI:1508859786
Name:UEDA, STUART H (DMD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:H
Last Name:UEDA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:738 KAHEKA ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3726
Mailing Address - Country:US
Mailing Address - Phone:808-942-5757
Mailing Address - Fax:808-942-5757
Practice Address - Street 1:738 KAHEKA ST
Practice Address - Street 2:SUITE 205
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3726
Practice Address - Country:US
Practice Address - Phone:808-942-5757
Practice Address - Fax:808-942-5757
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI11631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice