Provider Demographics
NPI:1689706475
Name:CHING, PAUL G (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:G
Last Name:CHING
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 1:2228 LILIHA ST STE 303
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1653
Mailing Address - Country:US
Mailing Address - Phone:808-550-4499
Mailing Address - Fax:808-550-4799
Practice Address - Street 1:2228 LILIHA ST STE 303
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1653
Practice Address - Country:US
Practice Address - Phone:808-550-4499
Practice Address - Fax:808-550-4799
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI16981223G0001X
CA384051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI24518901Medicaid