Provider Demographics
NPI:1821512906
Name:ALOHA ENDODONTICS
Entity Type:Organization
Organization Name:ALOHA ENDODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GURNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-201-3636
Mailing Address - Street 1:94-1144 KA UKA BLVD #5
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797
Mailing Address - Country:US
Mailing Address - Phone:808-201-3636
Mailing Address - Fax:808-427-5151
Practice Address - Street 1:94-1144 KA UKA BLVD #5
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797
Practice Address - Country:US
Practice Address - Phone:808-201-3636
Practice Address - Fax:808-427-5151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-31
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-24651223E0200X
1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty