Provider Demographics
NPI:1639150311
Name:DOI, DAVID T (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:T
Last Name:DOI
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 1:64-5191 KINOHOU ST
Mailing Address - Street 2:PO BOX 547
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-8408
Mailing Address - Country:US
Mailing Address - Phone:808-885-7144
Mailing Address - Fax:808-885-7794
Practice Address - Street 1:64-5191 KINOHOU ST
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-0547
Practice Address - Country:US
Practice Address - Phone:808-885-7144
Practice Address - Fax:808-885-7794
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI09871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice