Provider Demographics
NPI:1891180287
Name:DR. DON SAND
Entity Type:Organization
Organization Name:DR. DON SAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DON
Authorized Official - Middle Name:B
Authorized Official - Last Name:SAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-428-1572
Mailing Address - Street 1:54-135 HONOMU PL
Mailing Address - Street 2:
Mailing Address - City:HAUULA
Mailing Address - State:HI
Mailing Address - Zip Code:96717-9616
Mailing Address - Country:US
Mailing Address - Phone:808-428-1572
Mailing Address - Fax:
Practice Address - Street 1:54-135 HONOMU PL
Practice Address - Street 2:
Practice Address - City:HAUULA
Practice Address - State:HI
Practice Address - Zip Code:96717-9616
Practice Address - Country:US
Practice Address - Phone:808-428-1572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-02
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35354122300000X, 1223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty