Provider Demographics
NPI:1578271854
Name:SOH PARTNERSHIP OF HAWAII
Entity Type:Organization
Organization Name:SOH PARTNERSHIP OF HAWAII
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE RELATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DINKA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-362-4986
Mailing Address - Street 1:1422 ELBRIDGE PAYNE RD STE 240
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-8544
Mailing Address - Country:US
Mailing Address - Phone:636-362-4986
Mailing Address - Fax:
Practice Address - Street 1:95-221 KIPAPA DR
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-1147
Practice Address - Country:US
Practice Address - Phone:808-261-4696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOH PARTNERSHIP OF HAWAII
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty