Provider Demographics
NPI:1295996148
Name:GARRET K. UEHARA, DDS INC. DBA
Entity type:Organization
Organization Name:GARRET K. UEHARA, DDS INC. DBA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARRET
Authorized Official - Middle Name:K
Authorized Official - Last Name:UEHARA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-935-4800
Mailing Address - Street 1:519 E LANIKAULA ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-4523
Mailing Address - Country:US
Mailing Address - Phone:808-935-4800
Mailing Address - Fax:808-935-4870
Practice Address - Street 1:519 E LANIKAULA ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4523
Practice Address - Country:US
Practice Address - Phone:808-935-4800
Practice Address - Fax:808-935-4870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty