Provider Demographics
NPI:1821204348
Name:GERALD ADACHI, DMD INC
Entity Type:Organization
Organization Name:GERALD ADACHI, DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:ADACHI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:808-521-4421
Mailing Address - Street 1:715 S KING ST
Mailing Address - Street 2:SUITE 425
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3020
Mailing Address - Country:US
Mailing Address - Phone:808-521-4421
Mailing Address - Fax:808-536-6489
Practice Address - Street 1:715 S KING ST
Practice Address - Street 2:SUITE 425
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3020
Practice Address - Country:US
Practice Address - Phone:808-521-4421
Practice Address - Fax:808-536-6489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT15131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty