Provider Demographics
NPI:1477783454
Name:PAUL HAMAMOTO, D.D.S., INC.
Entity type:Organization
Organization Name:PAUL HAMAMOTO, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMAMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:808-245-7600
Mailing Address - Street 1:3206 AKAHI ST STE 3
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1171
Mailing Address - Country:US
Mailing Address - Phone:808-245-7600
Mailing Address - Fax:808-246-9566
Practice Address - Street 1:3206 AKAHI ST STE 3
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1171
Practice Address - Country:US
Practice Address - Phone:808-245-7600
Practice Address - Fax:808-246-9566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI13731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty