Provider Demographics
NPI:1770630956
Name:FURUYA, NEIL BRYANT (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:BRYANT
Last Name:FURUYA
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 1:615 PIIKOI ST PH 2
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3138
Mailing Address - Country:US
Mailing Address - Phone:808-593-9400
Mailing Address - Fax:808-597-1700
Practice Address - Street 1:615 PIIKOI ST PH 2
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3138
Practice Address - Country:US
Practice Address - Phone:808-593-9400
Practice Address - Fax:808-597-1700
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1520122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI6251-3OtherHMSA NUMBER
HI1520OtherHDS NUMBER