Provider Demographics
NPI:1669694725
Name:CHING, THOMAS ALAN (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ALAN
Last Name:CHING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 KAMEHAMEHA HWY
Mailing Address - Street 2:SUITE 405
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-2680
Mailing Address - Country:US
Mailing Address - Phone:808-455-3655
Mailing Address - Fax:
Practice Address - Street 1:803 KAMEHAMEHA HWY
Practice Address - Street 2:SUITE 405
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-2680
Practice Address - Country:US
Practice Address - Phone:808-455-3655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-13451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice