Provider Demographics
NPI:1619939725
Name:AHN, STEWART PETER (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEWART
Middle Name:PETER
Last Name:AHN
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 1:520 LUNALILO HOME RD
Mailing Address - Street 2:#8119
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1700
Mailing Address - Country:US
Mailing Address - Phone:505-400-0320
Mailing Address - Fax:
Practice Address - Street 1:95-221 KIPAPA DR # 4-B
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:800-795-2864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM20251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice