Provider Demographics
NPI:1528215605
Name:HYLAND, BOBEE J (DDS)
Entity Type:Individual
Prefix:DR
First Name:BOBEE
Middle Name:J
Last Name:HYLAND
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 KAHAAPO LOOP
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-5285
Mailing Address - Country:US
Mailing Address - Phone:507-438-1408
Mailing Address - Fax:
Practice Address - Street 1:74 LONO AVE STE 210
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-1626
Practice Address - Country:US
Practice Address - Phone:507-438-1408
Practice Address - Fax:507-433-7348
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND125291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice