Provider Demographics
NPI:1457408130
Name:DENTAL PERFECTIONS, INC.
Entity Type:Organization
Organization Name:DENTAL PERFECTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT (OWNER)
Authorized Official - Prefix:DR
Authorized Official - First Name:KERN
Authorized Official - Middle Name:K
Authorized Official - Last Name:AGADER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:808-674-8895
Mailing Address - Street 1:563 FARRINGTON HWY STE 206
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2031
Mailing Address - Country:US
Mailing Address - Phone:808-674-8895
Mailing Address - Fax:808-674-8802
Practice Address - Street 1:563 FARRINGTON HWY STE 206
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2031
Practice Address - Country:US
Practice Address - Phone:808-674-8895
Practice Address - Fax:808-674-8802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-19841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty