Provider Demographics
NPI:1508872391
Name:STUEF, KEVIN EMIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:EMIL
Last Name:STUEF
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:PO BOX 671
Mailing Address - Street 2:
Mailing Address - City:NAALEHU
Mailing Address - State:HI
Mailing Address - Zip Code:96772-0671
Mailing Address - Country:US
Mailing Address - Phone:808-929-7318
Mailing Address - Fax:808-929-7507
Practice Address - Street 1:671 KAALAIKI ROAD
Practice Address - Street 2:
Practice Address - City:NAALEHU
Practice Address - State:HI
Practice Address - Zip Code:96772
Practice Address - Country:US
Practice Address - Phone:808-929-7318
Practice Address - Fax:808-929-7507
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI12441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice