Provider Demographics
NPI:1689818023
Name:CODINGTON, TERRENCE PATRICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:PATRICK
Last Name:CODINGTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:500 ALA MOANA BLVD
Mailing Address - Street 2:SUITE 7-220
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4920
Mailing Address - Country:US
Mailing Address - Phone:808-523-3101
Mailing Address - Fax:808-523-3122
Practice Address - Street 1:75-1028 HENRY ST
Practice Address - Street 2:SUITE 102
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1693
Practice Address - Country:US
Practice Address - Phone:808-329-0025
Practice Address - Fax:808-329-4164
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI19461223G0001X
CA307481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice