Provider Demographics
NPI:1679705883
Name:JOEL K . YAP DDS, INC
Entity Type:Organization
Organization Name:JOEL K . YAP DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:YAP
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-596-0890
Mailing Address - Street 1:615 PIIKOI ST STE 1201
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3141
Mailing Address - Country:US
Mailing Address - Phone:808-596-0890
Mailing Address - Fax:808-356-0316
Practice Address - Street 1:615 PIIKOI ST STE 1201
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3141
Practice Address - Country:US
Practice Address - Phone:808-596-0890
Practice Address - Fax:808-356-0316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI17661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty